Table of Contents Risk & Protective Factors

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2 Table of Contents Acknowledgments Introduction Participants Average Age of Onset Interpreting the Results Margin of Error Results Tables Safety Bullying Violence Depression & Suicide Living Arrangements Relationships Family Experience School Experience Community Involvement Tobacco Electronic Vapor Products Marijuana Alcohol Prescription Drugs Risk & Protective Factors Domain: Community Domain: School Domain: Family Domain: Peer & Individual Methods Limitations Sources Results Tables (continued) Over the Counter Drugs Other Drugs Body Weight Physical Activity Nutrition Sexting Sexual Behavior Online only at Appendices Appendix A: Frequency Tables Appendix B: Result Charts AddendumSubgroup reports 2

3 2015 Ottawa County Youth Assessment Sur vey 3

4 Acknowledgments Thank You A special thank you to the school district superintendents, school principals, administrators, teachers, parents and students for participating in the 2015 Ottawa County Youth Assessment Survey (YAS). Planning and implementation of this study was coordinated by the YAS Committee, whose time and efforts were invaluable in making this project possible. Funding Provided by Allendale Community Foundation Community Foundation of the Holland/Zeeland Area Coopersville Area Community Foundation County of Ottawa Grand Haven Area Community Foundation Analysis Data analysis and report provided by Ottawa County Department of Public Health Epidemiologist Marcia Mansaray, M.Sc. and Grand Valley State University Associate Analyst Zachary Weber. The data was collected from October 2015 through early December 2015, and published April YAS Committee Kristin Speer, Greater Ottawa County United Way Leigh Moerdyke, Pathways, MI Liz DeLaLuz, Greater Ottawa County United Way Marcia Mansaray, Ottawa County Department of Public Health Sandra Boven, Ottawa County Department of Public Health Stacey Sills, Ottawa Area Intermediate School District Stephanie VanderKooi, Lakeshore Regional Entity 4

5 Introduction What is the YAS? A locally developed teen survey since Conducted every two years at grades 8, 10 and 12 in participating Ottawa County schools. Monitors how behaviors increase, decrease or stay the same over time. Measures how many teens are engaged in a wide variety of both risky and beneficial behaviors that affect their health and wellbeing. How did the YAS get its start? Prior to 2005, there wasn t a consistent or reliable way to find out about the needs and strengths of teens within the county. Several organizations recognized this gap and worked together to review existing surveys already considered valid and reliable. From that review, a survey tool was developed specifically for Ottawa County that could also be responsive to future needs of local teens. Why is the YAS important? Provides evidencebased information about what the biggest needs are (and aren t) among Ottawa County teens. Gives parents information they may use to guide their teens in becoming physically, emotionally and mentally healthy adults. Helps faith communities, local agencies and schools focus their efforts on the most pressing and prevalent issues teens say they face. Helps evaluate the effectiveness of interventions developed to address pressing and prevalent teen issues. Provides the option for school districts to have their own results to compare with Ottawa County s as a whole. Schools and parents may then make evidencebased decisions about how to address their student body s unique needs. Organizations and community members may request additional analysis that is suited to fit their needs. What is in the YAS report? Questions about: family and school experiences; sexting and sexual behaviors; mental health conditions; bullying, safety and violence; alcohol, tobacco and drug use; body image, nutrition and physical activity; and many more. New questions in 2015: bullied in neighborhood; use of electronic vapor products; using another ID to buy alcohol; recently used different forms of marijuana; have parents who talked about expectations when it comes to sex; and tested for a sexually transmitted disease in the past year. What issue areas affect males and females differently. Ages when teens may engage in risky behaviors for the first time Ottawa County Youth Assessment Sur vey 5

6 Participants Actual Representation The proportion of student respondents may vary from the true proportion of 8 th, 10 th and 12 th graders or any given school. As a result, using accepted statistical procedures, each student s data were assigned a poststratification weight to improve how well the results actually represented student responses from participating schools. This is done by comparing the actual number of respondents in 8 th, 10 th and 12 th grades per school to the reported headcount for those grade levels per school. In the tables to the right, observe how the numbers in the Percent column differ from the Weighted Percent column. 4,966 par ticipants 75 % White 11 % Hispanic 14 % Other Total 13 school systems participated Gender N % % Female % Male % Grade Level 8th % 10th % 12th % Race/Ethnicity Demographics of survey par t icipants White % Hispanic % Other % Weighted % 100.0% 50.3% 49.7% 34.1% 34.9% 31% 75.6% 10.1% 14.3% 3,170 participants answered sexual health questions 50 % male 50 % female 8 th grade 46 % 10 th grade 31 % 12 th grade 23 % Total 7 school systems participated Part icipants for sexual health quest ions N % % Gender Female % Male % Grade Level 8th % 10th % 12th % Race/Ethnicity White % Hispanic % Other % Weighted % 100.0% 49.6% 50.4% 32.7% 37.0% 31.3% 78.1% 8.6% 13.2% 6

7 Average Age of Onset Methodology The responses of 12 th grade students were analyzed to estimate the average age when they first tried one of the behaviors listed in the table below. For each of these behaviors, the responses were assigned a value. Then the mean age was calculated to give an estimate of the average age at which a student may try a behavior by the time they reached their last year of high school. 14 3/4 years old 15 3/4 years old Average age 12 th graders f irst engaged in behavior joined an organized gang smoked cigarettes used chewing tobacco used electronic vaping products drank alcohol used marijuana used inhalants to get high misused over the counter drugs misused prescription drugs had oral sex had sexual intercourse / /4 14 3/ /2 14 1/4 14 3/4 15 1/2 15 1/2 13 1/2 years old 15 years old 11 years old 14 3/4 years old 2015 Ottawa County Youth Assessment Sur vey 7

8 Interpreting the Results Data Presentation Survey questions are organized into issue areas and the number of students who responded to each question is shown in the Total N column. The Total N column for any particular question may be smaller than the 4,966 students who completed the survey. Reasons Total N column may be smaller than 4,966 1) Students were told they may leave the questions they did not want to answer blank. 2) Some questions were not shown to a student because of their answer to a previous question (skip logic). 3) Some responses may have been removed during data cleaning if the selected response was inconsistent with other responses provided by a student. To the right of the Total N column are four different categories of columns where the number and percentage of those who reported the behavior are presented. 4 dif ferent categories 1) Total Responses (starting with 2015 and going back to 2007) 2) 2015 by Gender 3) 2015 by Grade Level 4) 2015 by Race/Ethnicity 4) Not all schools included the 12 sexual health questions in their survey. Issue Area Total N 4 Dif ferent Categories Nutrit ion I eat five or more servings of fruits and vegetables on an average day Total N F M 8th 10th 12th White Hispanic Other % (1637) 32% (1574) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 33.2% (1216) 34.4% (775) 30.6% (472) 30.7% (777) 33.9% (856) 36.3% (818) 32.4% (492) 27.5% (327) 31.6% (1204) 35.9% (182) 33.8% (247) I have 0 cups of fruit on an average day % (466) 10.1% (456) 11.4% (376) 10.9% (249) 11.6% (175) 8.6% (194) 11.2% (272) 8.7% (194) 9.4% (138) 11.6% (134) 9.1% (327) 10.5% (51) 12% (85) I have 0 cups of vegetables on an average day % (848) 18.3% (857) 17.9% (598) 16.4% (370) 19.3% (290) 16.3% (392) 19% (454) 16.5% (369) 18.4% (269) 17.9% (210) 16.4% (583) 24.6% (128) 19.6% (134) 8

9 Data Cells In each of the data cells (Figure 1), the top number is the weighted percent of students reporting the behavior and the bottom number is the count of students who answered yes to the corresponding question. The results given for the Gender, Grade Level and Race/ Ethnicity categories show only 2015 data. Each data cell contains the results that correspond to those who reported the question out of the total respondents within each subgroup of the category. Example in Figure 2 In 2015, 30.7% of females (777 of all female respondents) versus 33.9% of males (856 of all male respondents) reported they ate five or more servings of fruits and vegetables on an average day. Nutrit ion I eat five or more servings of fruits and vegetables on an average day I have 0 cups of fruit on an average day I have 0 cups of vegetables on an average day Figure 1 Total N F M % (1637) 9.8% (466) 17.6% (848) 32% (1574) Total 10.1% (456) 18.3% (857) Total Responses 33.2% (1216) 11.4% (376) 17.9% (598) 34.4% (775) 10.9% (249) Weighted Percent Count of Students 30.6% (472) 11.6% (175) 19.3% (290) 2015 by Gende 30.7% (777) 8.6% (194) 16.3% (392) 33.9 (856 N % 32.2% (370) (1637) 32% (1574) Total Resp 11.2 (272 19% 33.2% (454 (1216 Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Et F M 8th 10th 12th White Hispanic 32.2% (1637) 32% (1574) 33.2% (1216) 34.4% (775) 30.6% (472) 30.7% (777) 33.9% (856) 36.3% (818) 32.4% (492) 27.5% (327) 31.6% (1204) 35.9% (182) It s too easy to look at statistics, numbers and charts and forget they represent people in this case, our youth. Each percentage is made up of actual students in Ottawa County schools that have faces, families and friends. Epidemiologist Marcia Mansaray, M.Sc. Ottawa County Department of Public Health 9.8% (466) 17.6% (848) Figure % (456) 18.3% (857) 11.4% (376) 17.9% (598) 10.9% (249) 16.4% (370) 11.6% (175) 19.3% (290) 8.6% (194) 16.3% (392) 11.2% (272) 19% (454) 8.7% (194) 16.5% (369) 9.4% (138) 18.4% (269) 11.6% (134) 17.9% (210) 9.1% (327) 16.4% (583) 33.9% or 856 male respondents 10.5% (51) 2007 F M 8th 30.6% (472) 30.7% or 777 female respondents 2015 by Gender % (777) 33.9% (856) 24.6% (128) 36.3% (818) 2015 Ottawa County Youth Assessment Sur vey 9

10 Margin of Er ror Overall Percentage When using the 2015 YAS results, it is important to take the margin of error into account. For example, 72.4% of Ottawa County 8 th, 10 th and 12 th graders sampled are a healthy weight (Figure 1). Using the margin of error of ±1.4%, it can be concluded that the actual percent of Ottawa County 8 th, 10 th, and 12 th graders who are a healthy weight is most likely between 71% and 73.8%. Figure 1 71% 73.8% 72.4% 1.4% +1.4% 70% 75% Youth Assessment Survey Margins of Error Overall 1.4% Gender 2% Grade Level 2.5% Race/Ethnicity 1.7% White 3% Hispanic and Other Comparing Group Percentages Margin of error can also be used when comparing groups. The 2015 YAS reports 12.9% of females and 15.7% of males used an electronic vapor product in the past 30 days. One should not assume the prevalence of use is higher for males than females. When considering the ±2% Gender margin of error, it can be concluded the prevalence for females is likely between 10.9% and 14.9% and the prevalence for males is likely between 13.7% and 17.7%. Because these intervals overlap (Figure 2) one should NOT conclude the prevalence is higher for males than females. It is more accurate to conclude the prevalence of using an electronic vapor product in the past 30 days is approximately equal for males and females. When comparing two or more groups, if the intervals found by adding and subtracting the margin of error do not overlap, one MAY conclude the prevalence is higher for one group than the other. 10% Figure 2 2.0% +2.0% 12.9% 15% 2.0% +2.0% 15.7% 95% conf idence level 20% Female Male Sexual Behavior Section Margins of Error Overall 2% Gender 2.5% Grade Level 3% Race/Ethnicity 2% White 4% Hispanic and Other The level which states that a result is expected to fall within the margin of error 19 times out of 20 if the survey is repeated using the same procedures. These margins of error were found using the conservative 1 formula n where n is the number of respondents. Because a different number of students responded to the sexual behavior questions, separate margins of error were calculated to use when interpreting those responses. 10

11 Results Tables Page 12 Page 13 Page 14 Page 16 Page 17 Page 18 Page 20 Page 22 Page 23 Page 24 Page 27 Page 28 Page 30 Page 33 Page 36 Page 38 Page 40 Page 42 Page 43 Page 44 Page 45 Safety Bullying Violence Depression & Suicide Living Arrangements Relationships Family Experience School Experiences Community Involvement Tobacco Electronic Vapor Product Marijuana Alcohol Prescription Drugs Over the Counter Drugs Other Drugs Body Weight Physical Activity Nutrition Sexting Sexual Behavior Linear Trend Analyses In the Results Tables, some question descriptions are highlighted with a symbol; either a star, green upward ar row, green downward ar row, red upward ar row, red downward ar row, gray upward arrow or a gray downward arrow. To determine the symbol selection, linear trend analyses were done using logistic regression and were controlled for gender, grade in school and race/ethnicity. If the pvalue for the linear time variable is less than the significance level (0.05), then there is evidence of a linear change. If the estimated coefficient for the time variable is positive, then there is evidence of a linear increase. Similarly, if the coefficient is negative, then there is evidence of a linear decrease. This was done in accordance with the CDC s guidelines for conducting linear trend analysis. Results for the year 2005 were included in the analysis, but due to space they are not shown in this report. Results Table Symbols Statistically significant linear trends New to YAS in 2015 Increasing & Moving in the Right Direction Decreasing & Moving in the Right Direction Increasing & Moving in the Wrong Direction Decreasing & Moving in the Wrong Direction Increasing or Decreasing but cannot be said to be Moving in the Right/Wrong Direction 2015 Ottawa County Youth Assessment Sur vey 11

12 Safety I rode in a vehicle driven by someone who had been drinking alcohol during the past 30 days I drove a vehicle after drinking alcohol during the past 30 days (among those who drive) Total N F M 8th 10th 12th White Hispanic Other % (720) 4.4% (75) 16.6% (774) 6.9% (108) Total Responses 18.7% (647) 9.5% (136) 70 % have texted while driving in the past 30 days 18.2% (403) 10.5% (129) 22.6% (364) 10.1% (92) 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 15.8% (382) 4.6% (40) 13.3% (335) 4.3% (35) 14.7% (323) 5.3% (9) 15% (228) 2.7% (13) 14% (169) 5.5% (53) 13.1% (502) 3.1% (49) 20.9% (100) 12.5% (14) 16.9% (115) 9% (12) I texted or ed while driving in the past 30 days (among those who drive) % (490) 39.9% (673) 70.8% (221) 69.9% (269) 78.2% (31) 52.7% (48) 72.9% (411) 69.4% (401) 71.9% (37) 72.3% (50) I did not go to school on one or more days in the past 30 days because of concerns about my safety at school or on the way to or from school % (237) 4.8% (240) 3.4% (130) 3.2% (74) 6.4% (170) 2.6% (64) 5.5% (123) 4% (64) 4.1% (50) 3.3% (139) 7.3% (37) 8% (58) I feel safe in my neighborhood % (4524) 92.5% (4358) 92.1% (3234) 93.4% (2109) 92.5% (1376) 94.8% (2303) 93.7% (2207) 94.4% (2067) 93.7% (1385) 94.9% (1072) 95.7% (3432) 88.2% (446) 90.8% (627) The following statements describe my neighborhood: Crime and/or drug selling % (492) 13.6% (618) 15% (470) 12.3% (273) 16.4% (223) 10.3% (240) 10.9% (252) 8.2% (192) 11.9% (170) 11.6% (130) 8.6% (308) 19.5% (92) 14.7% (91) Fights % (394) 11.2% (532) 11.8% (389) 11.6% (251) 17.5% (242) 7.7% (193) 7.9% (201) 8.2% (196) 8.7% (123) 6.2% (75) 5.4% (216) 18.4% (90) 13.2% (88) Lots of empty or abandoned buildings % (162) 4.1% (192) 6.2% (194) 5.1% (120) 7.1% (94) 3.5% (84) 4.2% (78) 3.5% (76) 3.8% (48) 4.3% (38) 2.9% (91) 8.3% (34) 6.3% (37) Lots of graffiti % (144) 4.6% (210) 5.5% (173) 4% (87) 8.2% (91) 2.7% (64) 3.8% (80) 3.1% (69) 3.7% (45) 3% (30) 2% (72) 8% (35) 6.4% (37) 12

13 Bullying 10 % are bullied electronically Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I have been bullied or harassed in the past 12 months % (1101) 22.5% (1082) 21.8% (774) 27% (678) 15.3% (419) 25.5% (569) 22.4% (335) 15.1% (197) 20.3% (810) 20.4% (99) 25.1% (185) I have been bullied or harassed during the past 12 months: On school property % (871) 17.8% (862) 16.8% (585) 20.6% (519) 12.8% (350) 20.5% (461) 16.7% (256) 12.3% (154) 16.2% (649) 15.7% (81) 18.8% (138) On the way to or from school % (274) 5.5% (273) 3.3% (117) 6% (156) 3.8% (116) 6.8% (162) 4.5% (73) 3.2% (39) 4.4% (201) 5% (24) 5.4% (45) Electronically through , chat rooms, instant messaging, websites, texting, Facebook, Twitter, etc % (523) 11.3% (530) 15.8% (384) 4.8% (137) 11.3% (249) 11.4% (173) 7.9% (101) 9.5% (374) 11.4% (53) 12.5% (92) In my neighborhood % (147) 3.7% (92) 1.9% (55) 4.1% (92) 2.2% (35) 2% (20) 2.3% (96) 2.2% (11) 4.2% (37) Somewhere else % (466) 11.9% (285) 6.7% (180) 10.5% (235) 10.3% (145) 6.7% (86) 8.2% (321) 9.9% (45) 13.3% (96) 2015 Ottawa County Youth Assessment Sur vey 13

14 Violence Related Behaviors I have carried a weapon such as a handgun, knife, or club in the past 30 days Total N F M 8th 10th 12th White Hispanic Other % (597) 11.5% (555) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 13.2% (504) 6% (141) 18.4% (455) 11.3% (270) 12.1% (170) 13.1% (157) 12.4% (458) 10.4% (50) 11.3% (84) It would be very easy or sort of easy for me to obtain a handgun % (1095) 25.1% (1159) 26.7% (926) 23.8% (570) 24.8% (378) 19.8% (454) 28.3% (637) 14.1% (333) 23.5% (358) 35.4% (404) 23.8% (818) 26.4% (114) 23.4% (160) I have been threatened or injured with a weapon such as a gun, knife, or club during the past 12 months % (408) 9.2% (449) 8.9% (306) 9.2% (205) 10.3% (152) 7.6% (188) 8.7% (217) 8.3% (200) 9.2% (132) 6.8% (76) 6.9% (261) 9.4% (46) 13.1% (99) I have been in a physical fight during the past 12 months % (900) 20.6% (1017) 23.5% (831) 27.6% (634) 29.3% (462) 12.9% (311) 24.1% (588) 19.9% (473) 18.8% (261) 16.4% (166) 16.2% (586) 24.6% (132) 23.7% (176) I have belonged to an organized gang % (146) 3.5% (168) 4.3% (158) 5.4% (135) 4.9% (75) 2.2% (51) 4.3% (95) 3.5% (85) 2.2% (23) 4.3% (38) 2% (71) 8.2% (36) 5% (37) I joined an organized gang for the first time before I turned 13 years old (among those who ever belonged to a gang) % (89) 54.2% (97) 60.9% (101) 61.4% (73) 75.6% (35) 57.3% (54) 67.1% (57) 59.9% (13) 62.6% (19) 68.3% (46) 57.4% (20) 52.7% (22) I was asked to join an organized gang during the past 12 months % (208) 6.4% (319) 7.7% (251) 8.2% (167) 3.1% (76) 5.1% (130) 4.9% (119) 3.3% (45) 4.2% (44) 2.1% (85) 12.5% (66) 7.7% (55) I have been threatened by one or more members of an organized gang in the past 12 months % (143) 4.3% (204) 4.8% (167) 5.3% (115) 2.9% (59) 4.2% (84) 2.6% (63) 4% (45) 4% (35) 2.3% (70) 7.7% (31) 5.6% (40) I had sexual intercourse when I really did not want to in the past 12 months % (159) 3.7% (151) 5.4% (169) 5.4% (125) 5.3% (109) 2.2% (48) 0.9% (23) 3.9% (54) 6.8% (82) 3.2% (108) 3.7% (19) 5.7% (29) 14

15 Total N F M 8th 10th 12th White Hispanic Other When I had sexual intercourse when I really did not want to: I was physically forced 119 I was threatened 152 I was made to feel guilty % (42) 18.4% (27) 56.3% (84) 25.2% (41) 15.1% (25) 59.1% (87) Total Responses 26% (43) 8.8% (13) 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 37% (33) 17.8% (18) 60.2% (64) 23.6% (9) 20.3% (9) 47.9% (20) 37.1% (6) 27.6% (6) 41.3% (9) 47.7% (18) 21.4% (8) 65.2% (31) 22.5% (18) 15% (13) 52.6% (44) nearly 64 % of kids who joined a gang did so before age % (25) 35.8% (6) 36.3% (9) * * * 63.5% (59) 39.4% (8) 54% (15) I was under the influence of alcohol or drugs % (69) 44.4% (59) 43.4% (68) 34.2% (43) 46.6% (49) 42.3% (20) 40.6% (9) 40% (20) 49% (40) 41.2% (44) 47.9% (9) 39.2% (13) I felt like I had to in order to fit in with my friends % (34) 18.3% (22) 23.1% (11) 26.3% (6) 18.2% (10) 20.1% (18) * * * I felt uncomfortable saying no % (78) 53.5% (57) 44.5% (20) 53.4% (12) 54.7% (25) 48.1% (41) 52.3% (50) 45.7% (9) 59% (17) I did it because of some other reason % (81) 50.9% (60) 47.1% (19) 54.6% (12) 55.3% (28) 46.2% (41) 50.2% (55) 55.1% (10) 58.3% (15) I have been physically harmed on purpose in my home in the past 12 months % (258) 6.6% (320) 5.8% (136) 3.9% (119) 5.9% (141) 5.3% (79) 3.3% (38) 4.3% (170) 6.2% (34) 6.2% (53) When I was physically harmed on purpose in my home, I was: Harmed by a parent % (75) 36.8% (118) 41.4% (47) 26.3% (27) 23.5% (30) 49.7% (33) 32.3% (12) 36.9% (48) 50.1% (15) 28.4% (12) Harmed by a another adult % (46) 18.9% (55) 24.2% (31) 11.9% (13) 11% (15) 27.1% (18) 23% (13) 22.2% (33) 18.6% (5) 15.5% (8) Harmed by someone else in the home % (127) 57.7% (181) 50.3% (67) 46.2% (58) 59.9% (82) 36.3% (29) 50.1% (16) 50.4% (90) 35.7% (12) 41.8% (24) *Results are suppressed when there are fewer than 5 respondents Ottawa County Youth Assessment Sur vey 15

16 Depression & Suicide 12 % have made a plan to at tempt suicide in the past 12 months nearly Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I stopped doing some usual activities during the past 12 months because I felt so sad or hopeless almost every day for two weeks or more in a row % (1207) 24.7% (1146) 22.9% (768) 20.7% (465) 19.1% (317) 34.1% (857) 13.5% (343) 21% (485) 27.4% (405) 23.7% (317) 20.5% (782) 39.7% (198) 31.7% (222) During the past 12 months, I have seriously thought about attempting suicide % (741) 16.7% (779) 13.9% (461) 22.1% (541) 7.7% (196) 13.9% (309) 16.1% (247) 14.9% (185) 12.7% (483) 20.5% (104) 22.1% (152) During the past 12 months, I made a plan about how to attempt suicide % (564) 11.6% (534) 8.6% (293) 16.8% (411) 6.7% (150) 10% (216) 12.9% (197) 12.6% (151) 9.8% (367) 16.9% (83) 16.6% (111) I attempted suicide 1+ times in the past 12 months % (315) 7.4% (347) 4.9% (155) 6% (133) 6.1% (96) 10% (247) 2.7% (65) 6% (137) 7.2% (107) 6% (71) 5% (185) 11% (52) 10.9% (78) 16

17 Living Arrangements Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I was without a place to stay in the past 12 months % (208) 5.1% (230) 5.3% (179) 4.9% (115) 5.5% (117) 4.6% (90) 3% (70) 4.8% (58) 7.6% (80) 3.3% (108) 10.1% (40) 8.4% (56) When I was without a place to stay in the past 12 months: I ran away or was "kicked out" of my home % (81) 48.1% (110) 56.2% (105) 60.8% (61) 39.8% (46) 40.7% (35) 37.3% (28) 41.1% (21) 40.6% (32) 41.9% (44) 37.7% (15) 34.8% (20) My family was without a place to stay % (29) 9.5% (22) 6.7% (12) 11% (10) 16.9% (20) 7.7% (9) 20.7% (11) 12.8% (9) 9% (9) * * * I was without a place to stay for some other reason % (98) 42.5% (98) 28.5% (57) 28.7% (36) 43.3% (51) 51.6% (46) 42% (31) 46.1% (28) 50.3% (39) 45% (47) 55.3% (22) 44.2% (27) *Results are suppressed when there are fewer than 5 respondents Ottawa County Youth Assessment Sur vey 17

18 Relationships 18

19 Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I have had a boyfriend or girlfriend in the past 12 months % (2217) 50.2% (2251) 58.8% (1886) 62.1% (1309) 48.5% (1159) 43.8% (1051) 35.1% (813) 47.6% (730) 56.6% (674) 44.5% (1579) 54.6% (283) 48.7% (344) Among those that reported having a boyfriend or girlfriend in the past 12 months, my boyfriend or girlfriend has done the following during the relationship: Hit, slap, or physically hurt me on purpose % (138) 7% (149) 9% (154) 8.3% (121) 6.2% (56) 10.4% (82) 4.1% (31) 8.4% (50) 10.7% (57) 6.3% (74) 11.5% (29) 11.6% (33) Threatened me % (103) 5.7% (118) 3.8% (71) 2.8% (36) 6.1% (60) 4.9% (43) 2.4% (21) 4.6% (32) 8.5% (50) 4% (59) 8.5% (21) 8.3% (22) Called me degrading names % (318) 13.9% (284) 11.4% (214) 9.9% (138) 18.2% (203) 12.1% (114) 11.1% (86) 14.1% (102) 19.3% (130) 14% (212) 18.3% (48) 17.2% (56) Isolated me from my family or friends % (188) 9.4% (189) 6.8% (125) 5.4% (79) 11.1% (114) 7.4% (74) 5.2% (45) 9.1% (62) 12.5% (81) 8.2% (128) 13.2% (32) 9.8% (27) Tried to control when I saw my friends I would want someone to find help if my boyfriend or girlfriend was pushing, yelling, or hitting me % (271) 72.2% (3443) 14.7% (305) 69.3% (3237) 12.9% (230) 68.8% (2411) 10.7% (153) 72.2% (1670) 14% (150) 86.7% (2073) 12.7% (120) 57.3% (1358) 8.3% (71) 79.2% (1715) 14.6% (102) 68.8% (982) 15.8% (98) 68.3% (746) 12.2% (186) 73.2% (2599) 14.7% (35) 70.2% (356) 16.4% (49) 69.2% (472) During the past 12 months, I saw someone's boyfriend or girlfriend pushing, yelling, or hitting them % (569) 12.9% (614) 20.2% (651) 12.2% (297) 12.7% (270) 8.6% (203) 15.2% (215) 13.5% (151) 11.1% (380) 16.7% (84) 14.2% (101) When I saw someone's boyfriend or girlfriend pushing, yelling, or hitting the other during the past 12 months: I did not do anything % (256) 48.2% (288) 21.6% (136) 46.8% (137) 44.7% (118) 48.4% (92) 45.5% (99) 44.1% (65) 44.7% (168) 50.1% (41) 45.3% (45) I spoke up and asked them to stop % (233) 41.2% (246) 44% (300) 44.2% (125) 38.3% (107) 36.2% (75) 42.6% (89) 43.1% (69) 38.7% (149) 40.3% (37) 50.8% (45) I asked if everything was ok % (361) 59.2% (361) 44.6% (278) 69.8% (207) 55.9% (152) 60.6% (127) 65.8% (138) 60.7% (96) 64.3% (241) 64.8% (55) 68.3% (65) I went to find help % (101) 15% (93) 13.4% (98) 25.1% (63) 13.4% (38) 20.2% (41) 16.6% (28) 21.7% (32) 17.2% (67) 20.7% (14) 19.8% (18) 2015 Ottawa County Youth Assessment Sur vey 19

20 Family Experience Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other People in my family often insult or yell at each other % (1321) 30.5% (1389) 30.7% (1057) 28.7% (624) 40.8% (588) 33% (775) 24.3% (542) 25.4% (552) 30.6% (450) 30.1% (319) 26.7% (896) 37% (178) 34.2% (243) We argue about the same things in my family over and over again % (1756) 38.8% (1745) 38.9% (1321) 36.7% (819) 44.3% (665) 45.9% (1043) 32.1% (707) 31.3% (681) 41.8% (603) 44.6% (472) 37.4% (1243) 46.1% (216) 43.9% (293) People in my family have serious arguments % (1151) 25.4% (1157) 27.7% (934) 26.8% (578) 30.6% (457) 28.1% (674) 21.2% (472) 19.5% (437) 26.1% (398) 29% (316) 22.8% (790) 32% (154) 29.9% (202) My parents ask if I have gotten my homework done % (4060) 80.6% (3886) 81.3% (2903) 80.5% (1805) 82.6% (1231) 82% (2048) 83.6% (2000) 90.7% (2007) 85.1% (1254) 71.1% (799) 84% (3083) 77.2% (400) 79.9% (560) My parents want me to call if I am going to be late getting home % (4264) 88.1% (4167) 89% (3133) 89.4% (2020) 90.6% (1354) 92.2% (2267) 84.5% (1984) 88.8% (1950) 90% (1344) 86.4% (970) 89.3% (3226) 85.9% (434) 86.1% (587) When I am not at home, one of my parents knows where I am and who I am with % (4375) 88.4% (4229) 88.1% (3106) 87.8% (1988) 84.7% (1275) 92.6% (2269) 88.2% (2092) 94.3% (2071) 90.7% (1349) 85.8% (955) 91.4% (3312) 86.8% (442) 87.4% (602) The rules in my family are clear % (4275) 85.7% (4108) 87.9% (3087) 87.6% (1988) 84.8% (1274) 87.7% (2156) 89% (2107) 91.1% (2007) 88.3% (1307) 85.3% (961) 89.2% (3235) 86.2% (435) 85% (586) My family has clear rules about alcohol and drug abuse % (4231) 84.8% (4066) 86.5% (3032) 87.1% (1976) 82.7% (1232) 86.8% (2131) 88.3% (2088) 92.1% (2016) 88.3% (1306) 81.7% (909) 88.6% (3204) 85.9% (432) 83.1% (577) 20

21 Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other My parents would know if I did not come home on time % (4193) 84% (3982) 85.3% (3007) 83.3% (1892) 84.2% (1236) 87.6% (2154) 86% (2026) 90.4% (1988) 87.6% (1299) 81.8% (906) 87.4% (3165) 87.5% (438) 82.7% (572) My parents give me lots of chances to do fun things with them % (3798) 73.4% (3517) 74.6% (2658) 74.9% (1706) 75.9% (1105) 77.3% (1905) 78.4% (1882) 83.9% (1837) 76.9% (1147) 72.1% (814) 79.7% (2913) 71.7% (370) 71.8% (497) My parents ask me what I think before most family decisions affecting me are made % (3204) 63.7% (3065) 63.8% (2292) 65.3% (1487) 65.9% (945) 62.2% (1580) 68.5% (1616) 72.7% (1570) 63.1% (952) 59.7% (682) 67% (2476) 56.9% (295) 61.7% (419) If I had a personal problem, I could ask my mom or dad for help % (3813) 75.6% (3603) 76.9% (2714) 77% (1753) 75.4% (1116) 76.8% (1889) 80.4% (1914) 83.6% (1821) 76.8% (1144) 75.1% (848) 81.7% (2972) 69.4% (354) 68.4% (472) 2015 Ottawa County Youth Assessment Sur vey 21

22 School Experience almost always or often 37.5 % hate being in school I seldom or never feel that the school work assigned to me is meaningful and important Total N F M 8th 10th 12th White Hispanic Other % (1068) 23.9% (1068) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 20% (646) 18.4% (426) 18.2% (296) 21.3% (494) 24.4% (570) 14.4% (330) 27% (400) 27.3% (338) 23.1% (821) 20.6% (95) 22.7% (148) I view most of the courses taken in school as slightly or very dull % (1348) 28.1% (1285) 27.6% (903) 23.7% (547) 25.2% (417) 26.5% (674) 27.7% (670) 24.5% (558) 33.4% (494) 22.5% (296) 26.2% (996) 30% (141) 29.7% (206) I feel that things being learned in school are only slightly important or not at all important for later life % (1295) 25.2% (1118) 19.5% (604) 17.7% (396) 16.9% (258) 28.9% (653) 27.1% (640) 17.4% (381) 34.9% (514) 31.7% (400) 28.3% (985) 27.4% (127) 26.4% (180) I seldom or never enjoy being in school % (1170) 23.1% (1063) 22.2% (727) 19.9% (458) 21.6% (332) 25.6% (599) 24.6% (566) 19.2% (428) 28.7% (408) 27.5% (334) 24.6% (853) 27.3% (132) 26.2% (179) I almost always or often hate being in school % (1775) 37.3% (1715) 30.8% (1137) 30.9% (697) 33.9% (522) 41.3% (971) 33.6% (797) 29.7% (643) 42.3% (634) 40.7% (498) 35.2% (1256) 46.6% (219) 43.6% (292) I seldom or never try to do my best in school % (223) 5.7% (258) 5.3% (186) 5.4% (133) 5.7% (83) 3.8% (86) 6.5% (136) 2.1% (52) 5.1% (70) 8.5% (101) 5.3% (168) 6.1% (28) 4% (27) I have skipped or cut one or more classes in the past 4 weeks % (719) 16.7% (743) 17.4% (411) 13.7% (307) 7.6% (171) 13.9% (202) 26.3% (346) 13.7% (486) 27.1% (113) 17.6% (118) 22

23 Community Involvement Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other During the past 12 months, I have participated in: A volunteer opportunity % (2930) 62.3% (2920) 59.6% (2038) 51% (1223) 66.7% (1580) 58.6% (1341) 55% (1190) 63.3% (940) 70.6% (800) 66.2% (2334) 48.3% (229) 54.2% (355) A school or community club % (2132) 40.9% (1943) 35.2% (1218) 31.6% (735) 50.2% (1195) 40% (930) 40.8% (885) 44.1% (666) 51.1% (581) 48.1% (1694) 33.8% (165) 38.3% (268) A team sport % (3016) 59.3% (2884) 56.4% (1936) 54.1% (1222) 58.8% (1480) 64% (1528) 67.7% (1513) 61.1% (914) 54.3% (589) 64.3% (2358) 48.3% (258) 54.9% (390) A nonteam sport % (1719) 36.8% (1764) 36.6% (1222) 23.8% (543) 30.8% (791) 38.9% (920) 37.2% (831) 32.5% (488) 34.9% (400) 35.7% (1332) 32.4% (154) 32.1% (227) Art/music/theater/dance % (2337) 47.2% (2254) 45.7% (1514) 36.7% (837) 57.8% (1453) 37.5% (878) 57% (1218) 44.7% (661) 41.3% (458) 48.2% (1752) 43.6% (227) 48.8% (350) A parttime job % (1706) 39% (1746) 37.5% (1273) 29.5% (742) 36.5% (812) 42.5% (891) 19% (422) 33.1% (488) 69.2% (796) 41.1% (1343) 34.7% (151) 32.7% (204) A church group % (2381) 51.8% (2529) 50.3% (1646) 45.4% (1073) 52% (1281) 47% (1092) 56.1% (1235) 48% (701) 44.3% (445) 52.5% (1892) 41.7% (202) 39.1% (277) A leadership activity % (1046) 22.5% (1074) 22.4% (770) 17.1% (396) 23.9% (590) 20.2% (455) 21.4% (477) 17.3% (260) 28.1% (309) 22.8% (807) 18.3% (95) 20.5% (141) I did not participate in any of these community activities in the past 12 months % (230) 4.7% (207) 9.6% (246) 10.9% (227) 4% (96) 5.6% (132) 5% (108) 6.1% (87) 3% (35) 3.6% (135) 9.5% (45) 7.7% (47) 2015 Ottawa County Youth Assessment Sur vey 23

24 Tobacco The YAS is a critical tool for the OAISD. We use it during teacher trainings to determine what objectives need to be emphasized when programming for health education in schools. Health and Prevention Consultant Stacey Sills Ottawa Area Intermediate School District Total I have smoked a whole cigarette 4800 N F M 8th 10th 12th White Hispanic Other 13.4% (551) 19.7% (799) Total Responses 2015 by Gender 2015 by Grade Level 24.4% (770) 27.1% (633) 30% (436) 13% (276) 13.8% (273) 4.1% (94) 13.5% (182) 23.8% (275) 2015 by Race/Ethnicity 11.4% (359) 21.4% (86) 17.4% (104) I smoked a whole cigarette for the first time before I turned 13 years old % (164) 6.3% (280) 7.6% (235) 8.8% (190) 10.9% (166) 3.6% (73) 3.9% (91) 2.7% (62) 4.5% (60) 4% (42) 2.5% (85) 7.8% (36) 6.2% (42) I smoked cigarettes on one or more of the past 30 days % (265) 9.9% (416) 13.9% (449) 15.9% (390) 18.2% (283) 6.8% (137) 6.8% (128) 1.5% (37) 6.2% (77) 13.2% (151) 6% (179) 7.9% (33) 9.2% (52) I tried to quit smoking in the past 12 months (among those who smoke) % (193) 54.3% (293) 44% (195) 57.4% (254) 46.9% (157) 57.9% (105) 54.5% (87) 69.7% (36) 60.5% (63) 52.1% (94) 56.6% (123) 60.5% (28) 58.6% (41) I believe there is no or slight risk to smoking one or more packs of cigarettes per day % (487) 10.3% (519) 13.8% (486) 10.6% (238) 10.3% (132) 9.2% (219) 10.4% (266) 10.4% (253) 10.6% (144) 8.3% (90) 7.9% (285) 16.9% (97) 13.9% (100) My parents feel it would not be wrong or only a little bit wrong for me to smoke cigarettes % (202) 6.3% (271) 10% (332) 9.7% (232) 4.8% (99) 4.5% (102) 1.7% (41) 4.1% (63) 8.6% (98) 4.1% (136) 3.9% (18) 7% (46) My friends feel it would not be wrong or only a little bit wrong for me to smoke cigarettes % (833) 23.2% (1033) 17.4% (396) 20.6% (434) 8.6% (190) 18.2% (265) 31.1% (378) 17.5% (576) 24.5% (111) 23.2% (145) 24

25 13 % have smoked a cigarette nearly 57 % who do smoke tried quitting in the past 12 months Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I have used chewing tobacco, snuff, or dip % (190) 5.4% (228) 7.9% (285) 11.1% (272) 2.7% (47) 7.5% (143) 1.3% (27) 5.1% (63) 9.2% (100) 4.9% (144) 6% (22) 3.9% (23) I used chewing tobacco, snuff, or dip for the first time before I turned 13 years old % (33) 1.2% (57) 1.8% (63) 2% (43) 1% (11) 1.2% (22) 0.8% (14) 1.1% (8) 1.5% (11) 0.8% (20) 2.1% (7) 0.5% (5) I used chewing tobacco, snuff, or dip in the past 30 days % (81) 2.3% (97) 3.6% (133) 5.3% (133) 4.8% (88) 1.7% (25) 2.8% (56) 0.9% (17) 2.2% (23) 3.8% (41) 2.2% (61) 1.7% (10) 1.2% (9) I used cigars, cigarillos, or little cigars in the past 30 days % (195) 6.8% (289) 9.5% (319) 11.5% (295) 12.5% (202) 3.7% (77) 6.1% (118) 1.4% (28) 5.3% (63) 8.3% (104) 4.6% (138) 6.1% (24) 5.4% (32) I have smoked cigarettes or cigars or have used chewing tobacco, snuff, or dip on one more of the past 30 days % (236) 12.1% (506) 16.4% (543) 19.2% (457) 21.5% (334) 5% (104) 7.3% (132) 1.7% (35) 5.6% (68) 12% (133) 5.9% (164) 6.2% (26) 7.7% (46) It would be very easy or sort of easy for me to get cigarettes (among those under age 18) % (1620) 45.4% (1844) 52.1% (1596) 53.6% (1345) 57% (889) 39.7% (858) 38.4% (758) 20.4% (450) 42.6% (622) 60.6% (548) 36.4% (1125) 47.6% (204) 46.1% (286) 2015 Ottawa County Youth Assessment Sur vey 25

26 Tobacco (continued) nearly 25 % have used an electronic vapor product In the past year (among those under 18): I bought cigarettes from a grocery store, gas station, convenience store, or discount store I gave money to a legal age (+18) person to buy cigarettes for me Total N F M 8th 10th 12th White Hispanic Other % (37) 4.3% (140) 2.2% (86) 6.4% (246) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 10.8% (321) 11.8% (255) 13% (193) 1.4% (18) 4.6% (79) 1.4% (19) 4.1% (61) 0.5% (7) 0.8% (15) 1% (8) 4.7% (54) 3.2% (22) 8.9% (71) 0.8% (22) 3.9% (93) 2.1% (5) 5.1% (16) 1.6% (8) 5.9% (30) I stole cigarettes from a store % (15) 1.1% (46) 1.6% (49) 1.9% (44) 2.4% (33) 0.8% (8) 0.6% (7) * * * * * * I took cigarettes from my home or the home of a friend without permission % (131) 5.4% (232) 6.7% (204) 6.8% (141) 7.9% (115) 4.1% (79) 2.7% (52) 2% (44) 3.8% (51) 4.8% (36) 2.5% (77) 6% (25) 4.5% (27) I was given cigarettes by my parents or the parents of a friend % (74) 3.8% (151) 5.3% (148) 6.3% (128) 6.1% (96) 2.5% (49) 1.7% (25) 0.9% (18) 2% (27) 3.9% (29) 1.7% (40) 2.5% (12) 3.2% (21) I was given cigarettes by an underage friend % (268) 12.9% (518) 14.8% (431) 16.8% (354) 20.2% (283) 8.3% (168) 5.6% (100) 3.1% (68) 8% (104) 11.1% (96) 6% (169) 11.1% (47) 8.9% (51) I was given cigarettes by a legal age (18+) person % (239) 10.7% (418) 14.6% (427) 15.7% (336) 18% (258) 6.7% (125) 7% (114) 1.6% (35) 6.3% (79) 15.1% (125) 6% (157) 8.7% (33) 9.6% (48) *Results are suppressed when there are fewer than 5 respondents. 26

27 Electronic Vapor Product Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I have used an electronic vapor product % (1076) 24.7% (541) 25.1% (533) 9.1% (213) 27.9% (393) 39% (470) 22.1% (713) 37.4% (168) 30.4% (192) I used an electronic vapor product before I turned 13 years old % (125) 2.4% (61) 2.4% (64) 4.2% (97) 1.4% (18) 1.6% (10) 1.5% (59) 5.9% (35) 3.2% (30) I used an electronic vapor product in the past 30 days % (588) 12.9% (281) 15.7% (306) 4.2% (103) 16.6% (227) 23% (258) 13.1% (397) 17.3% (79) 17% (109) 2015 Ottawa County Youth Assessment Sur vey 27

28 Marijuana 17 % have used marijuana nearly 53 % believe there is no or slight risk to trying marijuana Total I have used marijuana 4898 N F M 8th 10th 12th White Hispanic Other 17.6% (760) 20.9% (895) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 23.8% (762) 22.4% (513) 26.7% (389) 17.7% (389) 17.5% (368) 4.3% (105) 18.9% (269) 30.9% (386) 14.7% (476) 31.2% (136) 23.9% (147) I used marijuana for the first time before I turned 13 years old % (133) 4.8% (223) 5.4% (170) 4.9% (112) 6.6% (102) 2.8% (61) 2.8% (71) 2.3% (55) 3.8% (51) 2.3% (27) 1.8% (57) 8.3% (40) 4.5% (36) I used marijuana on one or more of the past 30 days % (423) 12.2% (515) 15.2% (484) 13.6% (312) 15% (224) 10.1% (215) 10.6% (208) 2.6% (62) 11.2% (147) 18% (214) 8.5% (259) 18.9% (77) 15.1% (87) In the past 30 days: I smoked marijuana % (408) 9.7% (205) 10.4% (203) 2.5% (58) 11% (144) 17.5% (206) 8.2% (251) 18.1% (74) 14.5% (83) I ate marijuana % (126) 2.8% (60) 3.6% (66) 0.7% (17) 4.3% (56) 4.6% (53) 2.5% (73) 6.2% (25) 4.6% (28) I drank marijuana % (23) 0.7% (15) 0.7% (8) * * * * * * I vaporized marijuana % (90) 2.3% (46) 3.3% (44) 0.7% (16) 3.6% (41) 4.1% (33) 2.3% (49) 4.9% (20) 3.7% (21) I used marijuana for medicinal purposes % (100) 1.9% (42) 3.8% (58) 0.3% (7) 2.9% (36) 5.7% (57) 2.3% (55) 4.3% (17) 4.6% (28) I used marijuana in some other way % (119) 2.8% (59) 3.6% (60) 1% (23) 3.3% (41) 5.5% (55) 2.7% (67) 5.7% (28) 4.3% (24) 28 *Results are suppressed when there are fewer than 5 respondents.

29 I believe there is no or slight risk to trying marijuana once or twice Total N F M 8th 10th 12th White Hispanic Other % (2428) 50.4% (2301) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 58.9% (2062) 51.9% (1192) 58.4% (884) 51.9% (1212) 53.6% (1209) 37.5% (830) 53.6% (801) 68.6% (797) 51.2% (1752) 62.7% (307) 54.6% (361) I believe there is no or slight risk to smoking marijuana once or twice a week % (1784) 40.3% (1814) 36.1% (848) 40.9% (932) 24.7% (560) 40.4% (591) 51.5% (633) 35% (1218) 54.3% (268) 46.4% (291) I believe there is no or slight risk to smoking marijuana regularly % (1191) 26.6% (1184) 26.8% (897) 19.8% (435) 18.8% (258) 23% (532) 28.4% (656) 15.9% (370) 28.1% (399) 33.6% (422) 22.7% (784) 39.4% (199) 32% (204) My parents feel it would not be wrong or only a little bit wrong for me to smoke marijuana % (422) 9.9% (421) 10.3% (319) 7.1% (169) 7.1% (98) 7.7% (190) 10% (232) 4.8% (103) 9.4% (142) 12.7% (177) 7.3% (259) 12.6% (64) 15.1% (99) My friends feel it would not be wrong or only a little bit wrong for me to use marijuana % (1316) 32.2% (1404) 28.2% (623) 31.9% (691) 11.1% (247) 31.5% (465) 49.2% (604) 26.8% (885) 44.3% (194) 37.3% (234) I think more than 60% of kids in my grade have used marijuana in the past 30 days % (826) 24.5% (1067) 22.5% (683) 15.3% (339) 18.6% (240) 22% (491) 16% (332) 5.3% (120) 22.9% (346) 30.1% (360) 15.5% (507) 37.5% (160) 25.5% (158) It would be sort of easy or very easy for me to obtain marijuana % (1422) 35.8% (1574) 40% (1308) 35.9% (809) 39% (553) 32.1% (705) 33% (714) 11.3% (263) 36.1% (526) 52% (633) 29.3% (959) 47.1% (207) 38.9% (251) 2015 Ottawa County Youth Assessment Sur vey 29

30 Alcohol Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I have had a drink of alcohol other than a few sips % (1238) 33.4% (1459) 39.8% (1316) 42.2% (949) 47.3% (736) 29.1% (648) 27.7% (588) 10.4% (243) 27.2% (404) 49.3% (591) 26.1% (855) 41.2% (182) 31.5% (199) I had a drink of alcohol other than a few sips before I turned 13 years old % (318) 9.3% (444) 10.9% (376) 11.6% (250) 13% (198) 6.5% (153) 7% (165) 6.7% (159) 7.1% (94) 6.3% (65) 4.6% (163) 17.2% (82) 9.6% (72) I have had at least one drink of alcohol in the past 30 days % (640) 18.9% (809) 22% (738) 24.9% (583) 29.3% (458) 16.3% (349) 15.1% (291) 3.4% (80) 14.2% (208) 30.8% (352) 14.8% (460) 21.4% (88) 15.4% (90) I had five or more drinks of alcohol within a couple hours in the past 30 days % (334) 10.8% (448) 13.9% (469) 13.6% (332) 18.7% (300) 8.8% (182) 8.2% (152) 1.2% (29) 7.3% (99) 17.8% (206) 7.8% (239) 11.4% (45) 8.8% (49) I strongly approve or somewhat approve of someone the same age as me having one or two drinks of an alcoholic beverage nearly every day % (186) 6.2% (292) 3.8% (81) 4.6% (105) 3.8% (82) 3.9% (51) 5.1% (53) 3.3% (104) 7.3% (39) 6% (42) I believe there is no or slight risk to having five or more alcoholic drinks once or twice a week % (1256) 28.6% (1347) 24.6% (602) 26.9% (652) 25.2% (562) 24.9% (361) 26.9% (333) 24% (868) 32.8% (179) 29.6% (203) I believe there is no or slight risk to having one or two alcoholic drinks nearly every day % (1044) 23.4% (1127) 36.9% (1305) 30% (698) 30% (437) 19.7% (480) 22.4% (563) 21.7% (489) 22.1% (311) 18.9% (244) 18.9% (698) 27.4% (154) 28% (186) My friends feel it would not be wrong or only a little bit wrong for me to have one or two drinks of an alcoholic beverage nearly every day % (795) 22.5% (981) 14.3% (328) 21.6% (465) 7.5% (167) 18.6% (277) 28.3% (351) 16.7% (555) 23.1% (107) 20.6% (130) 30

31 28 % have had a drink of alcohol beverage nearly every day My parents feel it would not be wrong or only a little bit wrong for me to drink beer, wine, or hard liquor regularly My parents feel it would not be wrong or only a little bit wrong for me to have one or two alcoholic drinks nearly every day I think more than 60% of kids in my grade have drank alcohol in the past 30 days Total % (517) 4.6% (208) 20% (872) 12.7% (567) 6.2% (273) 25.8% (1101) Total Responses 13.7% (482) 13.1% (297) 13.7% (202) 29.3% (867) 24.2% (510) 32.1% (435) 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other 9.4% (216) 3.6% (80) 22.6% (505) 13.7% (300) 5.6% (127) 17.2% (362) 5.3% (121) 2.5% (63) 4.6% (110) 10.9% (164) 4.2% (63) 19.4% (301) 19% (232) 7.4% (82) 37.7% (461) 11% (374) 4.4% (149) 19% (631) 14.2% (64) 4.1% (22) 27.9% (117) 11.3% (76) 4.8% (36) 20.2% (121) It would be sort of easy or very easy for me to get alcohol % (2446) 55.5% (2509) 55.2% (1924) 57.9% (1360) 60.3% (956) 56% (1270) 51.3% (1165) 34.8% (768) 57.1% (859) 70.6% (819) 54.9% (1867) 52.8% (247) 48.3% (323) 2015 Ottawa County Youth Assessment Sur vey 31

32 Alcohol (continued) In the past year: Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I bought alcohol from a store % (45) 1.7% (70) 2.3% (76) 1.7% (50) 2.5% (36) 1.3% (20) 1.1% (25) 0.6% (10) 0.5% (6) 2.7% (29) 0.8% (26) 1.8% (10) 0.8% (7) I bought alcohol from a restaurant or bar % (41) 1.6% (68) 2% (71) 2% (53) 2.7% (37) 0.7% (17) 1.1% (24) 0.2% (6) 0.3% (4) 2.3% (31) 0.9% (30) 1.6% (8) 0.3% (3) I gave money to a legal age (21+) friend or family member to buy alcohol % (276) 10.2% (420) 13.9% (457) 15% (355) 17.8% (286) 8% (161) 6.5% (114) 0.8% (16) 6.5% (79) 15.1% (181) 6.8% (199) 7.4% (28) 9.3% (48) I bought alcohol with an ID other than mine % (17) 0.4% (7) 0.6% (10) * * * * * * I stole alcohol from a store % (52) 1.4% (60) 2.7% (84) 2.9% (70) 3.7% (54) 1.4% (24) 1.9% (28) 0.4% (9) 1.2% (14) 3.5% (29) 1.2% (30) 2.3% (8) 2.5% (13) I took alcohol from my home or the home of a friend without permission % (319) 10.3% (440) 12.3% (418) 13.8% (322) 14.9% (237) 8.6% (191) 6.7% (128) 2.3% (55) 8.2% (124) 13.1% (140) 7.5% (239) 7.9% (34) 7.6% (45) I have been given alcohol by my parents or parents of a friend % (487) 13.4% (592) 14.9% (493) 16.1% (367) 18.9% (294) 13.4% (284) 9.2% (201) 4.3% (102) 10.5% (153) 19.9% (232) 10.2% (337) 13.5% (57) 14.8% (92) I have been given alcohol by an underage friend % (548) 16.6% (714) 20.6% (676) 21% (486) 26.5% (407) 15.5% (340) 10.2% (207) 3.3% (75) 13% (188) 23.2% (285) 11.2% (373) 20.5% (84) 15.1% (88) I have been given alcohol by a legal age (21+) person % (613) 18.5% (787) 22% (725) 24.4% (567) 27.9% (429) 16.9% (348) 12.6% (264) 3.6% (90) 12.8% (188) 29.2% (335) 13.4% (425) 20.1% (80) 17.3% (107) I attended a party where alcohol was available % (1450) 37.7% (1745) 36.8% (1261) 37.1% (847) 43.8% (659) 34.7% (813) 27.9% (635) 20.1% (470) 31.3% (455) 43.6% (525) 27.9% (966) 49.7% (238) 36.5% (242) 32 *Results are suppressed when there are fewer than 5 respondents.

33 Prescription Drugs Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I have used a prescription drug without a doctor's prescription % (373) 10.5% (465) 9.8% (207) 8.7% (164) 3.6% (87) 8.1% (113) 17% (173) 8.7% (257) 7.8% (39) 12.2% (76) I used a prescription drug without a doctor's prescription before I turned 13 years old % (109) 2.6% (135) 2.6% (56) 1.9% (53) 2.5% (60) 2% (30) 2.3% (19) 1.6% (63) 3.9% (19) 3.2% (26) I used a prescription drug without a doctor's permission in the past 30 days % (223) 7.3% (307) 6.7% (133) 4.6% (88) 1.6% (39) 5.2% (65) 10.7% (119) 5.2% (150) 5% (24) 8.7% (49) During the past 30 days, without a doctor's prescription: I used prescription sedatives or tranquilizers such as Valium, Xanax, or Restoril % (78) 2.2% (93) 2.7% (50) 1.5% (27) 0.4% (10) 2.8% (31) 3.2% (37) 1.9% (49) 1.6% (8) 3.8% (21) I used prescription pain relievers such as Darvocet, Percocet, or Vicodin % (80) 4% (168) 2.8% (48) 1.5% (31) 0.4% (10) 2.2% (26) 4% (44) 2% (54) 2% (9) 3% (17) I used prescription stimulants such as Ritalin, Adderal, or Fastin % (136) 4.2% (178) 4% (78) 3.1% (58) 0.5% (12) 3.5% (41) 6.9% (83) 3.3% (94) 2.4% (12) 5.5% (30) I used an unknown prescription drug % (62) 2.4% (111) 1.9% (39) 1.1% (23) 0.8% (19) 1.8% (21) 1.9% (22) 1.3% (40) 1.4% (8) 2.4% (14) 2015 Ottawa County Youth Assessment Sur vey 33

34 Prescription Drugs (continued) 34

35 I believe there is no or slight risk to using a prescription drug not prescribed to me My parents feel it would not be wrong or only a little bit wrong for me to use prescription drugs not prescribed to me My friends feel it would not be wrong or only a little bit wrong for me to use prescription drugs not prescribed to me Total N F M 8th 10th 12th White Hispanic Other % (700) 3.6% (160) 13.6% (581) 16.1% (781) 4.9% (216) 18% (773) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 17.5% (629) 11.8% (263) 13.7% (351) 3.3% (80) 11.8% (262) 14.1% (348) 4% (80) 15.2% (316) 16.2% (368) 2.2% (48) 6.1% (138) 12.8% (180) 3.6% (51) 13.5% (188) 12.5% (152) 5.2% (61) 21.9% (255) 11.7% (434) 3% (97) 12.2% (389) 20.9% (118) 5.3% (25) 18.5% (82) 20.4% (142) 5.7% (36) 17.4% (108) It would be sort of easy/very easy for me to get prescription drugs 29% 29.9% 28.1% 18.4% 29.7% 40.1% 28.6% 30.3% 30.9% 4839 Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity without a doctor's prescription (1272) (667) (598) (401) (427) (444) (929) (136) (202) N F M 8th 10th 12th White Hispanic Other Referring to Rx drugs not prescribed to me, in the past year: I bought them from a friend/peer % (119) 3.5% (148) 3.4% (67) 3% (52) 0.4% (10) 2.9% (33) 6.6% (76) 2.9% (77) 3.6% (16) 4.4% (26) I bought them from the internet % (9) 0.4% (22) * * * * * * * * I took them from home % (133) 4.3 (192) 4.1% (81) 2.5% (50) 1.2% (30) 3.1% (39) 5.8% (64) 3.3% (94) 2.5% (12) 4.1% (26) I took them from my grandparents % (20) 0.9% (46) 0.5% (11) 0.4% (9) * * * * * * I took them from a friend % (95) 3.1% (133) 3.2% (62) 1.6% (32) 0.6% (15) 2.6% (26) 4.2% (54) 2.2% (62) 1.7% (10) 3.9% (23) I took them from a friend's home % (33) 1.3% (58) 1% (18) 0.8% (14) 0.3% (7) 1% (10) 1.5% (16) * * * I attended a party where they were available % (223) 7.3% (309) 5.8% (128) 5.6% (95) 1.6% (39) 5.7% (67) 10.1% (117) 4.9% (146) 8.4% (36) 7.8% (41) *Results are suppressed when there are fewer than 5 respondents Ottawa County Youth Assessment Sur vey 35

36 Over the Counter Drugs I have used over the counter drugs only for the experience or feeling that they caused I used over the counter drugs only for the experience or feeling that they caused before I turned 13 years old I used over the counter drugs only for the experience or feeling that they cause on one or more of the past 30 days I believe there is no or slight risk to using over the counter drugs only for the experience or feeling they cause Total N F M 8th 10th 12th White Hispanic Other % (263) 1.8% (78) 3.5% (138) 16.8% (829) 8.3% (359) 2% (107) 4.8% (208) 17.6% (854) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 9.8% (335) 3.1% (97) 6.4% (215) 20.2% (713) 11.9% (272) 3.2% (65) 7.5% (191) 13.3% (292) 10.5% (188) 2.6% (40) 6.5% (106) 7.3% (151) 1.8% (41) 4.3% (82) 16.8% (415) 5.8% (110) 1.9% (37) 2.7% (54) 16.7% (410) 2.7% (64) 1.6% (38) 1.1% (28) 17.4% (394) 6.2% (83) 2% (26) 3.2% (39) 16.9% (239) 11.5% (116) 1.9% (14) 6.6% (71) 15.8% (196) 5.9% (177) 1.5% (43) 3% (94) 15.3% (559) 7.4% (34) 3.9% (18) 3.6% (17) 22.7% (125) 8.5% (50) 2.2% (16) 4.9% (26) 20.4% (139) The Sheriff s Office uses the information gathered in the YAS to determine how we should direct resources with our prevention efforts in our communities. Captain Valerie Weiss, Law Enforcement Services Ottawa County Sheriff s Office 36

37 65 % report never using any drugs in the YAS Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other In the past year, referring to OTC drugs used only for the experience or feeling that they cause: I bought them from a friend/peer % (66) 3.3% (143) 2% (38) 1.5% (28) 0.3% (8) 1.8% (20) 3.2% (38) 1.4% (40) 2% (9) 3.1% (17) I took them from my home % (132) 5.3% (232) 4.1% (84) 2.2% (46) 1% (26) 3.5% (44) 5.2% (62) 3.2% (100) 2.4% (11) 3.7% (20) I bought them from a store % (55) 2.2% (100) 2.1% (34) 1.1% (21) 0.4% (9) 1.5% (18) 3% (28) 1.2% (37) 1.8% (7) 2% (10) I took them from my grandparents % (23) 1.2% (61) 0.9% (11) 0.6% (12) 0.2% (6) 0.7% (7) 1.4% (10) * * * I took them from a friend % (92) 3.9% (178) 2.7% (54) 2% (37) 0.6% (15) 2.5% (28) 4.2% (49) 2.1% (59) 2.1% (11) 4.3% (22) I took them from a friend's home % (34) 1.8% (87) 1.5% (21) 0.6% (12) 0.3% (7) 1.2% (13) 1.9% (14) 0.8% (21) 1% (5) 1.2% (7) I stole them from a store % (24) 0.8% (41) 1.1% (14) 0.4% (10) 0.4% (9) 0.8% (8) 1.1% (7) 0.3% (8) 1% (6) 1.5% (9) I attended a party where they were available % (101) 9.2% (403) 3.5% (61) 2.3% (40) 0.5% (13) 2.5% (29) 6.2% (59) 2.2% (59) 2.4% (11) 5.9% (30) *Results are suppressed when there are fewer than 5 respondents Ottawa County Youth Assessment Sur vey 37

38 Other Drugs 38

39 I have used cocaine in any form including powder, crack, or freebase Total N F M 8th 10th 12th White Hispanic Other 4894 Ever to get high % (63) 4.3% (181) 2.6% (114) 5.7% (270) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 3.6% (125) 4.6% (113) I have used an inhalant (sniffed glue, breathed the contents of aerosol spray cans, or inhaled any other gases or sprays): 7.9% (279) 10.8% (243) 6% (99) 12.6% (208) 1.9% (36) 5.4% (109) 1.6% (27) 3.2% (71) 0.4% (10) 2.7% (59) 1.6% (18) 4.9% (68) 3.5% (35) 5.5% (54) 1.7% (41) 3.8% (119) 2.5% (12) 4.8% (22) 1.6% (10) 5.6% (39) To get high for the first time before I turned 13 years old % (85) 2.9% (144) 4% (137) 4.6% (100) 5.8% (89) 2.2% (49) 1.4% (35) 1.6% (38) 2.6% (34) 1.2% (13) 1.6% (52) 2.3% (12) 2.7% (21) To get high in the past 30 days Total 1.6% 2.7% Total 3.3% Responses 4.8% 3.9% % by Gender 1.1% 1.4% 2015 by 1.4% Grade Level 2.1% 1.3% 2015 by Race/Ethnicity 1.7% 1.6% 4843 N 2015 (64) (132) (118) (108) (68) (40) (24) (29) (19) (16) (42) (9) (11) F M 8th 10th 12th White Hispanic Other I have used heroin (also called smack, junk, or China White) % (74) 2.4% (116) 1.5% (52) 1.7% (47) 1.9% (39) 1.4% (35) 1.1% (28) 1.8% (24) 2% (22) 1.4% (49) 2.4% (13) 1.3% (11) I have used methamphetamines (also called speed, crystal, crank, ice, chalk, fire, or glass) % (57) 2.2% (102) 1.7% (60) 2% (55) 1.8% (30) 1.4% (27) 0.7% (18) 1.8% (21) 2.3% (18) 1.2% (33) 1.5% (9) 2.3% (14) I have used ecstasy (also called extacy, X, MDMA) % (97) 5% (210) 2.9% (99) 3.7% (91) 4.8% (80) 2.4% (52) 2.5% (44) 0.5% (13) 2.3% (30) 4.7% (54) 2.3% (67) 2.8% (12) 2.8% (18) I have used a hallucinogen (LSD, PCP, shrooms, or acid) % (148) 5.4% (223) 5.5% (174) 5.6% (131) 5% (77) 3.9% (71) 3.8% (77) 0.7% (17) 3.8% (49) 7.4% (82) 3.5% (105) 2.5% (11) 5.4% (31) I used a hallucinogen (LSD, PCP, shrooms, or acid) in the past 30 days % (54) 2.7% (112) 2.7% (87) 2.8% (69) 3.1% (46) 1.7% (25) 1.9% (29) * * * * * * It would be sort of easy or very easy for me to get a drug like cocaine, LSD, heroin, or methamphetamine % (420) 15% (655) 16.2% (564) 15.4% (351) 10.9% (214) 10.6% (206) 2.8% (66) 10.7% (148) 19.5% (206) 9% (270) 16.3% (65) 14.7% (84) I have never used any of the drugs in the YAS % (2839) 66.7% (1435) 64.4% (1394) 83.4% (1628) 64.2% (828) 45.4% (383) 68.6% (2263) 48.5% (222) 60.8% (341) *Results are suppressed when there are fewer than 5 respondents Ottawa County Youth Assessment Sur vey 39

40 Body Weight 72 % are categorized as a healthy weight 24 % are categorized as overweight or obese 40

41 Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other Underweight (less than 5th percentile) % (190) 4.6% (189) 4.3% (130) 3.1% (62) 3.5% (35) 2.9% (65) 5.4% (125) 6.3% (116) 3.2% (45) 3.1% (29) 4.5% (154) 1.9% (9) 3.6% (27) Healthy Weight (5th84th percentile) % (3173) 74.3% (3160) 74.4% (2311) 73.8% (1573) 73.8% (889) 76.1% (1673) 68.8% (1500) 71.8% (1354) 73.3% (1033) 72.1% (786) 74.2% (2487) 61.3% (257) 70.4% (421) Overweight (85th 94th percentile) % (549) 12.6% (538) 13.7% (409) 13.7% (277) 13.2% (160) 13% (272) 12.2% (277) 12.2% (226) 13.9% (189) 11.7% (134) 11.8% (390) 15.8% (66) 14.3% (90) Obese (95th+ percentile) % (479) 8.5% (364) 7.7% (224) 9.4% (192) 9.6% (114) 8% (185) 13.6% (294) 9.8% (187) 9.6% (139) 13.2% (153) 9.5% (323) 21% (86) 11.7% (70) Overweight or Obese % (1028) 21% (902) 21.4% (633) 23.1% (469) 22.8% (274) 21% (457) 25.9% (571) 21.9% (413) 23.5% (328) 24.9% (287) 21.4% (713) 36.8% (152) 26% (160) I describe myself as slightly or very overweight % (1235) 24.3% (1142) 23.1% (822) 24.9% (560) 28.5% (446) 28.7% (703) 21.3% (526) 24.1% (538) 26.1% (384) 24.9% (313) 23.6% (875) 37.7% (187) 24% (170) I describe myself as about the right weight I am trying to lose weight 4827 I exercised 4844 Total 56.6% 58.4% Total 61.2% Responses59% 55.8% % by Gender 56% 56.9% 2015 by 54.3% Grade Level 59.1% 58% 2015 by Race/Ethnicity 45% 57% 4840 (2711) (2814) (2153) (1344) (837) (1400) (1303) (1242) (823) (646) (2078) (240) (380) N F M 8th 10th 12th White Hispanic Other 37.8% (1892) 67.1% (3306) 41.2% (1948) In the past 30 days, to lose weight or to keep from gaining weight: 70.3% (3378) 38.8% (1340) 61.5% (2166) 36.9% (832) 41.8% (936) 44.1% (683) 48% (1205) 68.6% (1704) 27.1% (678) 65.6% (1595) 39.8% (888) 71.3% (1604) 38.3% (563) 66.5% (994) 35.1% (441) 63.1% (708) 34.8% (1309) 66% (2432) 57.9% (299) 74.6% (386) 40.1% (277) 68.7% (480) I ate less food, fewer calories, or foods low in fat % (2033) 43.2% (2036) 34.5% (1212) 27.1% (630) 50.5% (1256) 31.5% (769) 42.1% (933) 40.7% (601) 40.7% (499) 38.7% (1438) 55.4% (291) 43.7% (297) I went without eating for 24 hours or more % (428) 9.7% (460) 5.7% (179) 2.6% (57) 13.1% (325) 4.4% (100) 8.4% (194) 9.7% (130) 8.3% (104) 6.9% (262) 14.5% (70) 13.9% (93) I took diet pills, powders, or liquids without a doctor's advice % (110) 4.1% (179) 1.9% (64) 1.1% (25) 3.4% (72) 2% (38) 1.5% (35) 2.6% (33) 4.2% (42) 2.1% (69) 5.8% (22) 2.7% (18) I vomited or took laxatives % (124) 3.7% (171) 2.1% (68) 1.5% (31) 4.7% (95) 1.5% (27) 2.2% (52) 4.1% (41) 3.1% (31) 2.7% (82) 4% (16) 3.6% (25) 2015 Ottawa County Youth Assessment Sur vey 41

42 Physical Activity I have been physically active for 60+ minutes per day on five or more of the past seven days Total N F M 8th 10th 12th White Hispanic Other % (2723) 54.3% (2649) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 54.3% (1956) 51.6% (1154) 40.8% (598) 47% (1196) 63.9% (1518) 58.4% (1329) 54.5% (819) 52.8% (575) 58.1% (2137) 44.4% (226) 48.6% (348) I have exercised to strengthen or tone my muscles on 3 days or more of the past 7 days % (2733) 57.1% (2775) 49.6% (1238) 61.3% (1488) 59.1% (1335) 54.9% (836) 51.5% (562) 55.6% (2054) 53.5% (277) 55.9% (393) On an average day, I spend 3 or more hours watching tv, playing video or computer games, or using a computer for something that is not school work % (2477) 50.8% (2405) 52.4% (1291) 49.8% (1179) 49% (1080) 53.7% (808) 50.5% (589) 49.3% (1782) 60.6% (308) 55.2% (378) 42

43 Nutrition 51 % spend 3+ hours a day on electronics not for school Total 18 % have 0 cups of vegetables on an average day Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I eat five or more servings of fruits and vegetables on an average day % (1637) 32% (1574) 33.2% (1216) 34.4% (775) 30.6% (472) 30.7% (777) 33.9% (856) 36.3% (818) 32.4% (492) 27.5% (327) 31.6% (1204) 35.9% (182) 33.8% (247) I have 0 cups of fruit on an average day % (466) 10.1% (456) 11.4% (376) 10.9% (249) 11.6% (175) 8.6% (194) 11.2% (272) 8.7% (194) 9.4% (138) 11.6% (134) 9.1% (327) 10.5% (51) 12% (85) I have 0 cups of vegetables on an average day % (848) 18.3% (857) 17.9% (598) 16.4% (370) 19.3% (290) 16.3% (392) 19% (454) 16.5% (369) 18.4% (269) 17.9% (210) 16.4% (583) 24.6% (128) 19.6% (134) I drank a can, bottle, or glass of soda or pop (not including diet) one or more times per day in the past 7 days % (1575) 36.6% (1715) 20.2% (697) 27.3% (639) 39.3% (933) 30.6% (690) 33.7% (486) 35.5% (399) 30.8% (1079) 47% (239) 35.5% (253) I drank a can, bottle, or glass of soda or pop (not including diet) three or more times per day in the past 7 days % (306) 8.3% (387) 7.5% (241) 5% (115) 8.5% (190) 5.8% (127) 7.3% (100) 7% (79) 5.8% (182) 10.4% (54) 9.2% (69) I eat or drink one or more servings of dairy on an average day % (4440) 92.7% (4422) 92.7% (3258) 79.3% (2149) 94.6% (1441) 90.6% (2217) 93.2% (2210) 92.5% (2057) 91.3% (1357) 91.8% (1026) 93% (3360) 88% (445) 88.5% (616) I eat or drink three or more servings of dairy on an average day % (2162) 48% (2295) 52.5% (1839) 53.1% (1225) 59.6% (890) 38.3% (931) 51.6% (1226) 44.5% (1000) 46.7% (688) 42.8% (474) 45.6% (1654) 42% (207) 40.8% (288) 2015 Ottawa County Youth Assessment Sur vey 43

44 Sexting Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I have engaged in a "sexting" activity in the past 12 months % (817) 21.6% (910) 27.3% (905) 20% (428) 18.8% (386) 6% (139) 19.9% (287) 33.5% (391) 18.8% (600) 21.1% (91) 20.4% (124) I sent a sexually suggestive message by text, , instant message, social network, etc. during the past 12 months % (672) 18.2% (770) 23.6% (780) 16.3% (350) 15.9% (320) 4% (92) 15.9% (233) 29.5% (347) 16.3% (509) 15.5% (67) 15.6% (95) I shared a sexually suggestive message that was sent by someone else % (284) 7.9% (325) 9% (301) 7.4% (154) 6.2% (129) 3% (68) 7.4% (98) 10.3% (118) 5.9% (195) 9.6% (38) 8.3% (49) I sent or posted a naked or seminaked photo or video of myself by text, , social profile, website, blog, etc. during the past 12 months % (352) 8.8% (366) 9.1% (314) 9.7% (207) 6.3% (143) 1.4% (33) 8.6% (127) 14.7% (192) 7.5% (262) 7.9% (30) 9.8% (59) I shared a naked or seminaked photo or video that was sent by someone else % (161) 4.8% (195) 9.6% (359) 3.6% (71) 4.4% (90) 1.5% (33) 3.9% (54) 6.8% (74) 3.8% (112) 4.7% (20) 4.5% (28) 44

45 Sexual Behavior The average age of onset for sexual behavior is 15.5 years of age. Knowing this, we can better equip parents and other caregivers with the tools they need to cultivate ongoing conversations about sexuality. AASECT Certified Sexuality Educator Heather Alberda with the Ottawa County Department of Public Health Total Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity N F M 8th 10th 12th White Hispanic Other I strongly agree or agree that there are consequences (physical, emotional, or other) when someone my age has sexual intercourse % (2436) 77.1% (2074) 74.4% (1107) 83.3% (1273) 74.9% (1155) 85.4% (1106) 79.2% (799) 71.8% (531) 80.5% (1935) 78.1% (205) 70.3% (286) I strongly agree or agree that there are consequences (physical, emotional, or other) when someone my age has oral sex % (2147) 66.5% (1821) 62.9% (917) 73.9% (1131) 64.6% (1008) 80% (1037) 68.7% (688) 58.9% (422) 70.8% (1710) 66.9% (178) 60.9% (250) Parents or other adults in my family have talked with me about what they expect when it comes to sex % (2093) 71.7% (1097) 66% (988) 63.2% (818) 72.9% (731) 70.3% (544) 69.5% (1646) 64.2% (165) 68.3% (273) My parents feel it would not be wrong or only a little bit wrong for me to have sexual intercourse % (561) 17% (383) 18.9% (301) 16.4% (234) 21.5% (325) 7.2% (92) 18% (182) 32.1% (287) 18.7% (431) 15.7% (39) 23.1% (91) I have had sexual intercourse % (464) 20.1% (434) 24.4% (366) 28% (343) 31.8% (136) 16.8% (236) 16.9% (225) 2.5% (32) 15.1% (134) 34.6% (298) 15.1% (329) 26.4% (56) 21.5% (77) I had sexual intercourse before I turned 14 years old % (73) 3.7% (92) 5.4% (71) 5.7% (77) 9% (42) 1.8% (25) 3.7% (48) 1.8% (24) 3.6% (28) 2.7% (21) 1.5% (33) 9.8% (18) 5.3% (22) 2015 Ottawa County Youth Assessment Sur vey 45

46 Sexual Behavior (continued) Total I have had oral sex 3063 N F M 8th 10th 12th White Hispanic Other 20.5% (556) 38 % reported NOT wearing a condom during last sexual intercourse 23.6% (519) Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 28.5% (442) 33.4% (395) 33.8% (138) 18.8% (261) 22.2% (293) 3.1% (39) 18.8% (180) 40.4% (337) 19.5% (422) 26.3% (55) 22.9% (78) I had oral sex before I turned 14 years old % (104) 4.9% (116) 5.9% (80) 7.2% (81) 10% (60) 3% (36) 5.2% (68) 2.5% (32) 5.5% (40) 4% (32) 3.2% (65) 10.1% (19) 5.2% (20) I have had oral sex or sexual intercourse % (592) 25.5% (553) 30.7% (452) 33.8% (447) 39.1% (159) 21.2% (289) 23.2% (300) 3.3% (42) 21.3% (194) 43.5% (356) 20.7% (439) 30.7% (64) 25.7% (87) I had oral sex or sexual intercourse before I turned 14 years old % (113) 5.6% (135) 6.8% (90) 7.8% (89) 12.2% (73) 3.4% (40) 5.4% (73) 2.8% (35) 6% (44) 4.2% (34) 3.2% (65) 11.3% (21) 6.7% (27) I have had sexual intercourse with four or more people during my lifetime % (106) 5.8% (117) 8.6% (123) 8.2% (110) 9.2% (44) 3.5% (48) 4.7% (58) 0.3% (4) 3.9% (29) 8.2% (73) 3.2% (71) 8.1% (12) 6.3% (22) I did not use a condom during the last time I had sexual intercourse (among those who have ever had sexual intercourse) % (173) 41.4% (166) 43% (144) 38.6% (148) 62.6% (113) 44.4% (103) 32.1% (69) 56.8% (14) 31.7% (40) 39.9% (119) 39.5% (126) 23.5% (13) 43.5% (33) I have been tested for a sexually transmitted disease in the past 12 months (among those who have had sexual intercourse) % (112) 28% (74) 13.5% (37) 14.6% (9) 17% (32) 23% (71) 18.2% (71) 18.2% (14) 32.8% (27) 46

47 I find that students are very interested in where our county stands. They are often shocked by the data, and I believe they are sometimes relieved by it. For example, when they see the numbers and realize that NOT every single young person is having sex, it makes them realize they are not alone in their choices. Jodi Heard, Grand Haven Area Public Schools I have had sexual intercourse with one or more people in the past three months Total N F M 8th 10th 12th White Hispanic Other % (339) 15.2% (321) 20.1% (297) Among those who reported having sexual intercourse in the past three months: Total Responses 2015 by Gender 2015 by Grade Level 2015 by Race/Ethnicity 20.9% (267) 21.7% (122) 13.6% (190) 11.2% (146) 1.2% (16) 10.6% (96) 26.7% (227) 11.3% (241) 18.8% (41) 15.1% (55) I drank alcohol or used drugs before the last time I had sexual intercourse % (70) 24.7% (71) 30.6% (88) 25.4% (69) 31% (35) 19.6% (39) 22.4% (31) 37.5% (6) 24.8% (23) 17.7% (41) 20% (46) 17.7% (8) 24.9% (15) I did not use a condom during the last time I had sexual intercourse % (139) 45% (134) 43.2% (125) 42.7% (145) 56.8% (26) 45.3% (87) 36.1% (51) 47.4% (7) 31.4% (27) 44.5% (105) 41.6% (100) 30% (12) 47.5% (26) I used birth control pills to prevent pregnancy during the last time I had sexual intercourse % (103) 25.8% (70) 32.9% (61) 31.4% (42) * * * * * * No method was used to prevent pregnancy during the last time I had sexual intercourse % (29) 13.4% (39) 9% (19) 7.2% (10) * * * 6.6% (17) 15.7% (7) 10.2% (5) *Results are suppressed when there are fewer than 5 respondents Ottawa County Youth Assessment Sur vey 47

48 This past year, much attention has been given to mental health (rightly so). Having the YAS data confirms that youth do in fact suffer from some form of depression. This tells us that we need to begin addressing issues of mental health much earlier in a child s life. Executive Director Patrick Cisler, Community SPOKE & Lakeshore Nonprofit Alliance 48

49 Risk & Protective Factors Community School Family Peer & Individual Risk and protective factors are scored using sets of survey questions called scales and are organized by domain (Community, School, Family and Peer & Individual). The scale construction followed guidelines provided by the University of Washington s Social Development Research Group. The 2015 YAS report contains scales for 7 risk factors (Community Disorganization; Perceived Availability of Drugs; Low School Commitment; Family Conflict; Parental Attitudes Favorable toward Alcohol, Tobacco and Other Drug Use; Poor Family Management; and Low Perceived Risk of Drug Use) and 1 protective factor (Family Opportunities for ProSocial Involvement). Each question in a scale had its responses ordered and valued from 1 to 4 or from 1 to 5, depending on the number of responses. The values of each student s responses were then summed for each scale and the mean scale value was calculated. If the student s mean was more than the expected scale mean, then the student s score for a scale was considered at risk. If the student s mean was less than or equal to the expected scale mean, then the student s score was considered not at risk. The Risk and Protective Factors tables report the percentage of students who scored at risk for each Risk Factor scale or not at risk for the single Protective Factor scale. Percentages were also reported among the subgroups for gender, grade level and race/ethnicity. Risk Factors are conditions that increase the likelihood of a young person becoming involved in drug use, delinquency, school problems or violence. LOW PERCENTAGES are desirable among risk factors. Protective Factors are conditions that buffer youth from exposure to risk by either reducing the impact of the risks or changing the way that a young person responds to risks. HIGH PERCENTAGES are desirable among risk factors Ottawa County Youth Assessment Sur vey 49

50 Domain COMMUNITY Percentage of Students Exhibiting the Risk Factor or Protective Factor Risk Factor or Protective Factor All Participants Female Male 8 th Grade 10 th Grade 12 th Grade White Hispanic Other YAS survey questions used to calculate each risk or protective factor 2015 Survey 2013 Survey 2011 Survey 2009 Survey 2007 Survey 2005 Survey Community Disorganization Scale How much does each of the following statements describe your neighborhood? Q182 I feel safe in my neighborhood Q183 Crime and/or drug selling Q184 Fights Q185 Lots of abandoned buildings Q186 Lots of graffiti 3.4% 5.0% 5.9% 5.0% 7.2% 5.8% 3.0% 4.7% 5.5% 3.5% 6.4% 4.7% 4.0% 5.4% 6.0% 6.7% 8.0% 8.3% 3.2% 4.5% 6.4% 3.7% 6.0% 5.8% 3.9% 6.3% 7.2% 5.5% 9.2% 9.0% 3.2% 4.5% 3.7% 5.6% 6.5% 4.1% 2.0% 3.8% 8.4% 10.1% 7.6% 7.1% Perceived Availability of Drugs Scale Q59 If you wanted to get some cigarettes, how easy would it be for you to get some? Q76 If you wanted to get some alcohol, how easy would it be for you to get some? Q96 If you wanted to get some marijuana, how easy would it be for you to get some? Q128 If you wanted to get a drug like cocaine, LSD, or methamphetamines, how easy would it be for you to get some? 35.0% 29.6% 35.6% 35.4% 38.3% 36.8% 34.7% 28.8% 34.0% 32.3% 39.3% 37.2% 35.2% 30.1% 37.0% 38.7% 38.9% 39.0% 13.0% 11.1% 14.7% 9.0% 12.5% 14.3% 36.5% 37.2% 38.6% 38.1% 45.0% 41.2% 57.3% 53.1% 55.0% 53.8% 68.3% 58.9% 32.6% 26.5% 44.6% 40.8% 38.5% 35.5% 50

51 Domain SCHOOL Percentage of Students Exhibiting the Risk Factor or Protective Factor Risk Factor or Protective Factor All Participants Female Male 8 th Grade 10 th Grade 12 th Grade White Hispanic Other YAS survey questions used to calculate each risk or protective factor 2015 Survey 2013 Survey 2011 Survey 2009 Survey 2007 Survey 2005 Survey Low School Commitment Scale* Q163 How often do you feel that the school work you are assigned is meaningful and important? Q164 How interesting are most of your courses to you? Q165 How important do you think the things you are learning in school are going to be for your later life? Q166 During the last four weeks, how many times have you skipped one or more classes? Q167 How often did you enjoy being in school? Q168 How often did you hate being in school? Q169 How often did you try to do your best in school? 20.1% 19.2% 17.9% 16.3% 16.6% 5.0% 20.7% 18.5% 15.7% 14.6% 14.9% 5.3% 19.5% 19.6% 19.9% 18.5% 20.1% 5.8% 11.7% 11.0% 10.6% 9.5% 14.5% 3.1% 24.1% 24.8% 22.3% 20.0% 17.4% 7.1% 24.9% 26.6% 21.5% 18.6% 21.7% 6.3% 19.2% 18.5% 24.4% 21.4% 22.3% 20.4% *Because the wording of Q166 was changed in 2013 to refer to classes skipped instead of days skipped or cut, it is not reasonable to compare the prevalence for 2013 or 2015 to past years Ottawa County Youth Assessment Sur vey 51

52 Domain FAMILY Percentage of Students Exhibiting the Risk Factor or Protective Factor Risk Factor or Protective Factor All Participants Female Male 8 th Grade 10 th Grade 12 th Grade White Hispanic Other YAS survey questions used to calculate each risk or protective factor 2015 Survey 2013 Survey 2011 Survey 2009 Survey 2007 Survey 2005 Survey Family Conflict Scale Q170 People in my family often insult or yell at each other Q171 We argue about the same things in my family over and over again Q172 People in my family have serious arguments 29.0% 28.1% 29.8% 27.0% 33.4% 35.0% 33.4% 33.9% 30.9% 39.4% 22.9% 22.7% 25.2% 24.5% 33.1% 22.3% 22.7% 28.0% 22.3% 32.3% 31.8% 34.2% 31.6% 30.9% 37.9% 33.5% 30.1% 29.5% 28.1% 38.2% 26.5% 26.3% 37.3% 32.1% 36.8% 34.1% Parental Attitudes Favorable Toward Alcohol, Tobacco & Other Drug Use Scale Q137 How wrong do your parents feel it would be for you to smoke cigarettes? Q138 How wrong do your parents feel it would be for you to drink beer, wine or hard liquor regularly? Q140 How wrong do your parents feel it would be for you to smoke marijuana? 5.3% 5.9% 10.9% 7.2% 6.9% 4.1% 5.1% 5.6% 5.4% 5.2% 6.5% 6.7% 9.2% 9.1% 9.1% 1.7% 2.0% 3.3% 2.2% 2.4% 5.4% 7.3% 7.7% 7.3% 7.7% 9.2% 11.1% 11.6% 11.2% 13.2% 4.8% 5.3% 6.5% 6.3% 7.5% 8.5% 52

53 Percentage of Students Exhibiting the Risk Factor or Protective Factor Risk Factor or Protective Factor All Participants Female Male 8 th Grade 10 th Grade 12 th Grade White Hispanic Other YAS survey questions used to calculate each risk or protective factor 2015 Survey 2013 Survey 2011 Survey 2009 Survey 2007 Survey 2005 Survey Poor Family Management Scale Q162 My parents ask if I ve gotten my homework done Q163 My parents want me to call if I am going to be late getting home Q164 When I am not at home, one of my parents knows where I am and who I am with Q165 The rules in my family are clear Q166 My family has clear rules about alcohol and drug abuse Q167 Would your parents know if you did not come home on time? 8.5% 9.4% 6.4% 6.6% 6.8% 5.4% 7.9% 8.5% 5.2% 4.8% 6.6% 4.3% 9.1% 10.5% 7.4% 8.6% 8.1% 7.2% 4.3% 5.2% 4.0% 3.6% 3.8% 2.3% 7.6% 11.0% 7.0% 8.3% 7.0% 7.1% 14.2% 15.3% 8.0% 7.7% 12.9% 7.6% 7.8% 8.1% 10.7% 14.4% 11.1% 12.3% Family Opportunities for ProSocial Involvement Scale Q162 My parents ask if I ve gotten my homework done Q163 My parents want me to call if I am going to be late getting home Q164 When I am not at home, one of my parents knows where I am and who I am with Q165 The rules in my family are clear Q166 My family has clear rules about alcohol and drug abuse Q167 Would your parents know if you did not come home on time? 75.8% 74.5% 75.0% 73.2% 67.9% 67.3% 73.7% 72.1% 74.0% 73.3% 70.9% 74.0% 78.1% 76.9% 75.9% 77.3% 76.1% 74.8% 82.9% 80.9% 79.6% 80.8% 79.6% 80.3% 74.0% 69.0% 71.3% 74.0% 71.8% 69.9% 70.1% 69.9% 74.9% 73.0% 67.3% 73.6% 78.2% 77.6% 68.5% 63.8% 68.0% 68.6% 2015 Ottawa County Youth Assessment Sur vey 53

54 Domain PEER & INDIVIDUAL Percentage of Students Exhibiting the Risk Factor or Protective Factor Risk Factor or Protective Factor All Participants Female Male 8 th Grade 10 th Grade 12 th Grade White Hispanic Other YAS survey questions used to calculate each risk or protective factor 2015 Survey 2013 Survey 2011 Survey 2009 Survey 2007 Survey 2005 Survey Low Perceived Risk of Drug Use Scale How much do you think people risk harming themselves (physically or in other ways) if they: Q131 Try marijuana once or twice? Q134 Have one or two alcoholic drinks nearly every day? Q135 Smoke marijuana regularly? Q136 Smoke one or more packs of cigarettes per day? 18.8% 20.5% 24.2% 17.1% 15.0% 16.9% 15.7% 17.5% 12.3% 11.1% 20.9% 25.3% 30.6% 25.5% 21.4% 14.3% 15.7% 21.2% 9.5% 10.0% 21.1% 22.1% 24.6% 21.6% 16.4% 21.1% 26.6% 27.0% 23.4% 24.9% 16.2% 17.3% 28.1% 29.7% 25.0% 28.0% 54

55 Methods School Participation & Survey Administration The YAS was designed as a selfadministered anonymous questionnaire for students in grades 8, 10 and 12 in Ottawa County schools. The YAS was a paper fillable form in 2005, 2007 and In 2011, the YAS Committee piloted an optional online questionnaire, in order to reduce both printing costs and student classroom time. Based on survey results and school feedback from 2011, the YAS Committee converted to a fully online survey system in All school systems with one or more of the eligible grade levels were formally invited to participate by the YAS Committee in the 2015 YAS. Thirteen school systems participated; representing public schools, nontraditional high schools, nonpublic schools and public charter schools. Working with each participating school, the YAS Committee assigned each school system a oneweek window to administer the online survey to one or more classrooms of students; either in a teachersupervised classroom or computer lab setting. Schools were asked to administer the survey in a way that ensured every student had an equal chance of taking the survey, such as in a required course for each respective grade level. From October through middecember 2015, a total of 4,966 students voluntarily completed the online questionnaire. Survey Questionnaire The core questions of the 2015 survey were adapted from the national Youth Risk Behavior Survey (YRBS), a national schoolbased survey conducted by the Centers for Disease Control and Prevention. Additional items in the questionnaire were selected from the validated Communities That Care survey instrument (developed by the University of Washington). In limited instances, questions were altered or developed by the YAS Committee for more appropriate application to Ottawa County students or in response to feedback from the community. The survey procedures were designed to protect students privacy by allowing anonymous and voluntary participation. Students were informed they could decline the online survey and they were also instructed to skip questions which they preferred not to answer. No student identifying information was collected in any part of the survey process. Appendix A contains the Frequency Tables, which consist of the survey questions and response options. Available online only at Ottawa County Youth Assessment Sur vey 55

56 Methods (continued) Preparing the Data SAS 9.4 statistical software was used to prepare and analyze the raw data from student responses YAS data was cleaned and edited for response ranges, height/weight plausibility and logical consistency in accordance with YRBS criteria contained in the 2013 YRBS Methodology Guide. Use caution when comparing the 2015 report with previous years. As new questions and behaviors are added, some questions do not remain comparable. In the 2015 report, past years are set to even though this value may have been reported in the past (e.g., I have never used any of the drugs in the YAS ). The addition of electronic vapor products changed the potential results for this question. Therefore, past survey results may not be comparable. Always consult the 2015 report for the most accurate comparisons and statistics for each survey year. Student weight status categories (table to the right) were assigned based on each student s selfreported height, weight, age and gender. Since all students were 20 years of age or younger, weight categories were determined based on a teen s percentile rank according to the Centers for Disease Control and Prevention s Pediatric Clinical Growth Charts for males and females. Weight Status Category Underweight Healthy Weight Overweight Obese Percentile Range less than the 5 th percentile 5 th to less than the 85 th percentile 85 th to less than the 95 th percentile 95 th percentile or more The information available through the YAS has been an amazing resource to view the needs in our community. The fact that it is specific to Ottawa County gives useful information we need to make informed decisions. Mason Wesolek, Chair of the Community Foundation of the Holland/Zeeland Area s Youth Advisory Committee and Senior at Holland Christian High School 56

57 The Results New variables were constructed based on methods used in the 2013 YRBS Data User s Guide. From 206 original survey questions, 266 dichotomous yes/ no research measures, or variables, were created. For example, survey question 7 is: During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol? NO YES{ 0. 0 times 1. 1 time 2. 2 or 3 times 3. 4 or 5 times 4. 6 or more times From this question one research measure, or variable, is reported: I rode in a vehicle driven by someone who had been drinking alcohol during the past 30 days. If the student response was anywhere from 1 time to 6 or more times, then those responses are all recoded as a yes. If the student response was 0 times, then those responses are recoded as a no. The analysis for this report is primarily descriptive and involves the computation of percentages and counts for the yes responses to each variable. Among the 8 th, 10 th and 12 th grades in the participating schools, 34.1% of the students are 8 th graders. Due to differences in classroom size and other factors beyond the control of the YAS Committee, the final YAS dataset contained 45.7% of its responses from 8 th graders. To increase the representativeness of the results, student response data was weighted using poststratification weights based on the published number of students in each grade of each participating Ottawa County school. If only unweighted results were reported, the 2015 YAS report would be biased toward typical 8 th grade behavior. Weighting takes this into consideration. In this report, weighted percentages are reported for every variable for the most accurate picture. In past years, if the question did not exist or is no longer comparable due to changes in wording, the data cell contains. Some questions asked in past reports are no longer included in the 2015 YAS. To view 2005, 2007, 2009, 2011 or 2013 YAS reports, visit and select a report in the Ottawa County Youth Assessment Surveys section. Results for the year 2005 were included in the analysis, but due to space they are not shown in this report Ottawa County Youth Assessment Sur vey 57

58 Limitations Considerations Regarding the Data Several issues are critical to consider when interpreting the results of the Ottawa County YAS. Use caution when comparing results between subgroups (such as Hispanic, White or Other) when the number of responding students is small or the outcome or behavior is relatively rare. This is due to the fact that the amount of error in a measurement grows as the number of respondents gets smaller. Where a question has fewer than five respondents reporting the behavior, the results are suppressed and replaced with * to protect student identity and statistical validity. School personnel administered the survey to students during class time in required subjects in each target grade until they met or exceeded the number specified by the YAS Committee. Since schools volunteered to participate in the survey and classroom selection was not controlled by the YAS Committee, the students completing the survey cannot be said to have been randomly selected. This introduces the potential that sampling bias could affect the results. With any survey, the issue of response bias could be a factor in the results. This would occur when students respond more inline with what they believe the researchers want to see in comparison to their actual belief. Because there are sensitive issues throughout the YAS, response bias could have influenced students responses to be more favorable. It is the opinion of the YAS Committee that the results of this report are reasonably reliable. Since the number of students completing the survey is large (about 40% of all nonhomeschooled 8 th, 10 th and 12 th graders) and maintains a good geographic representation of the county, it is reasonable to assume the data constitutes a representative sample of Ottawa County 8 th, 10 th and 12 th graders. Students who were absent or received their education at home at the time the YAS was given are not represented in the results. The Ottawa County YAS sampled 8 th, 10 th and 12 th graders; whereas the equivalent questions from the national and state YRBS were administered to 9 th, 10 th, 11 th and 12 th graders. Also the YAS method for selecting a sample of students to take the survey is different than YRBS sampling methods. Therefore, YAS results cannot be directly compared to state and national YRBS results. When comparing YAS results between 2005, 2007, 2009, 2011, 2013 and 2015 survey years, please be aware the students surveyed were not from identical districts each year. With each YAS administration, every effort was made to encourage all districts to participate. The survey conducted in 2015 provides the largest sample of 8 th, 10 th and 12 th graders in the history of the YAS. It is possible the change of the questionnaire format from paper to online could introduce an unknown element that impacts how students answer the YAS questions. Keep this in mind when comparing 2015, 2013 and 2011 results to previous years. 58

59 Sources Content Sources Pages 6 & 57 Michigan Department of Education, Center for Educational Performance and Information (CEPI); Public School Data Pupil Headcount Data, Accessed August 10, Pages 11, 55 & 58 Centers for Disease Control and Prevention, Division of Adolescent and School Health; Youth Risk Behavior Surveillance System (YRBSS): Conducting Trend Analyses of YRBS Data, June Pages 49 & 55 Communities That Care, Risk and Protective Factor Scale Construction Summary, Page 56 Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, March 1, 2013; Methodology of the Youth Risk Behavior Surveillance System 2013, Page 56 Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity, and Obesity/ Nutrition; Growth Chart Training: A SAS Program for the 2000 CDC Growth Charts (ages 0 to <20 years), Page 57 Nebraska Department of Education, 2013 Youth Risk Behavior Survey: YRBS Data User s Guide Page 57 Michigan Department of Education, Nonpublic Schools Meeting Report Requirements of Nonpublic School Act, Report layout and design by Kristina Wieghmink, M.Ed. Communications Specialist, Ottawa County Department of Public Health Image Sources Page Page Page 9 Page Page Page Page Page Page Page Page Page 22 teen_school Page Page 25 Page 27 www. stock.adobe.com, Page Page Page Page Page Page Page 44 Page Page Royaltyfree images were used for this publication. Refers to the right to use copyrighted material or intellectual property without the need to pay royalties or license fees for each use Ottawa County Youth Assessment Sur vey 59

60 Frequency Tables Appendix A 1: How old are you? Q1 Frequency Percent Missing years old years old years old years old years old years old years old years old : What is your gender? Q2 Frequency Percent Missing Female Male : What grade are you in? Q3 Frequency Percent 8th Grade th Grade th Grade Body Mass Index (BMI) Category BMICat Frequency Percent Missing Underweight Healthy Weight Overweight Obese : Which one of the following best describes your race/ethnicity? Q6 Frequency Percent Missing American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Multiracial : During the past 30 days, how many times (if any) did you ride in a car or other vehicle driven by someone who had been drinking alcohol? Q7 Frequency Percent Missing times time or 3 times or 5 times or more times : During the past 30 days, how many times (if any) did you drive a car or other vehicle when you had been drinking alcohol? Q8 Frequency Percent Missing times time or 3 times or 5 times or more times I don't drive

61 9: During the past 30 days, how many days did you text or while driving a car or other vehicle? Q9 Frequency Percent Missing I don't drive days or 2 days to 5 days to 9 days to 19 days to 29 days : During the past 30 days, on how many days (if any) did you carry a weapon such as a handgun, knife, or club? Q10 Frequency Percent Missing days day or 3 days or 5 days or more days : If you wanted to get a handgun, how easy would it be for you to get one? Q11 Frequency Percent Missing Very hard Sort of hard Sort of easy Very easy : During the past 30 days, on how many days (if any) did you not go to school because you felt unsafe at school or on your way to or from school? Q12 Frequency Percent Missing days day or 3 days or 5 days or more days : During the past 12 months, how many times (if any) has someone threatened or injured you with a weapon such as a gun, knife, or club? Q13 Frequency Percent Missing times time or 3 times or 5 times or 7 times or 9 times or 11 times or more times : During the past 12 months, how many times (if any) were you in a physical fight? Q14 Frequency Percent Missing times time or 3 times or 5 times or 7 times or 9 times or 11 times or more times Ottawa County Youth Assessment Sur vey 61

62 15: If you have ever belonged to an organized gang, how old were you when you first joined one? I have never belonged to an organized gang Q15 Frequency Percent Missing years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : During the past 12 months, were you ever asked to join an organized gang? Q16 Frequency Percent Missing No Yes : During the past 12 months, were you ever threatened by one or more members of an organized gang? Q17 Frequency Percent Missing No Yes : During the past 12 months, did you have a boyfriend or girlfriend? Q18 Frequency Percent Missing No Yes : If you answered Yes to question 18, has your boyfriend or girlfriend done any of the following during the relationship: hit, slap, or physically hurt you on purpose? Q19 Frequency Percent Missing No Yes : If you answered Yes to question 18, has your boyfriend or girlfriend done any of the following during the relationship: threatened you? Q20 Frequency Percent Missing No Yes : If you answered Yes to question 18, has your boyfriend or girlfriend done any of the following during the relationship: called you degrading names? Q21 Frequency Percent Missing No Yes : If you answered Yes to question 18, has your boyfriend or girlfriend done any of the following during the relationship: isolated you from family or friends? Q22 Frequency Percent Missing No Yes : If you answered Yes to question 18, has your boyfriend or girlfriend done any of the following during the relationship: tried to control when you saw your friends? Q23 Frequency Percent Missing No Yes

63 24: During the past 12 months, did you see someone s boyfriend or girlfriend pushing, yelling, or hitting them? Q24 Frequency Percent Missing No Yes : If you answered Yes to question 24: when you saw someone s boyfriend or girlfriend pushing, yelling, or hitting them. What did you do? I did not to anything. Q25 Frequency Percent Missing No Yes : If you answered Yes to question 24: when you saw someone s boyfriend or girlfriend pushing, yelling, or hitting them. What did you do? I spoke up and asked them to stop. Q26 Frequency Percent Missing No Yes : If you answered Yes to question 24: when you saw someone s boyfriend or girlfriend pushing, yelling, or hitting them. What did you do? I asked if everything was okay. Q27 Frequency Percent Missing No Yes : If you answered Yes to question 24: when you saw someone s boyfriend or girlfriend pushing, yelling, or hitting them. What did you do? I went to find help. Q28 Frequency Percent Missing No Yes : If your boyfriend or girlfriend was pushing, yelling, or hitting you, would you want someone to find help? Q29 Frequency Percent Missing No Yes : During the past 12 months, have you had sexual intercourse when you really didn t want to? Q30 Frequency Percent Missing No Yes : If you answered yes to question 30, when you had sexual intercourse and really didn t want to were you: physically forced? Q31 Frequency Percent Missing No Yes : If you answered yes to question 30, when you had sexual intercourse and really didn t want to were you: threatened? Q32 Frequency Percent Missing No Yes Ottawa County Youth Assessment Sur vey 63

64 33: If you answered yes to question 30, when you had sexual intercourse and really didn t want to were you: made to feel guilty? Q33 Frequency Percent Missing No Yes : If you answered yes to question 30, when you had sexual intercourse and really didn t want to were you: under the influence of alcohol or other drugs? Q34 Frequency Percent Missing No Yes : If you answered yes to question 30, when you had sexual intercourse and really didn t want to were you: feeling uncomfortable saying no? Q36 Frequency Percent Missing No Yes : If you answered yes to question 30, when you had sexual intercourse and really didn t want to were you: some other reason? Q37 Frequency Percent Missing No Yes : If you answered yes to question 38, when you were physically harmed on purpose in your home, were you harmed by: a parent? Q39 Frequency Percent Missing No Yes : If you answered yes to question 38, when you were physically harmed on purpose in your home, were you harmed by: another adult? Q40 Frequency Percent Missing No Yes : If you answered yes to question 30, when you had sexual intercourse and really didn t want to were you: feeling like you had to in order to fit in with your friends? Q35 Frequency Percent Missing No Yes : During the past 12 months have you been physically harmed on purpose in your home? Q38 Frequency Percent Missing No Yes : If you answered yes to question 38, when you were physically harmed on purpose in your home, were you harmed by: someone else in your home? Q41 Frequency Percent Missing No Yes

65 42: Thinking about your living arrangements, during the past 12 months did you ever find yourself without a place to stay? Q42 Frequency Percent Missing No Yes, I ran away Yes, my parents kicked me out Yes, my family was without a place to stay Yes, some other reason : During the past 12 months, have you been bullied or harassed? Q43 Frequency Percent Missing No Yes : You answered yes to being bullied or harassed during the past 12 months. Where have you been bullied or harassed? On school property. Q44 Frequency Percent Missing No Yes : You answered yes to being bullied or harassed during the past 12 months. Where have you been bullied or harassed? On the way to or from school. Q45 Frequency Percent Missing No Yes : You answered yes to being bullied or harassed during the past 12 months. Where have you been bullied or harassed? Electronically through , chat rooms, instant messaging, etc. Q46 Frequency Percent Missing No Yes : You answered yes to being bullied or harassed during the past 12 months. Where have you been bullied or harassed? In my neighborhood. Q47 Frequency Percent Missing No Yes : You answered yes to being bullied or harassed during the past 12 months. Where have you been bullied or harassed? Somewhere else. Q48 Frequency Percent Missing No Yes : During the past 12 months have you sent a sexually suggestive message by text, , instant message, social network, etc.? Q49 Frequency Percent Missing No Yes : During the past 12 months have you sent or posted a naked or seminaked photo or video of yourself by text , social profile, website, blog, etc.? Q50 Frequency Percent Missing No Yes Ottawa County Youth Assessment Sur vey 65

66 51: During the past 12 months have you shared with someone a sexually suggestive message that was sent to you by someone else? Q51 Frequency Percent Missing No Yes : During the past 12 months have you shared with someone a naked or seminaked photo or video that was sent to you by someone else? Q52 Frequency Percent Missing No Yes : During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities? Q53 Frequency Percent Missing No Yes : During the past 12 months, did you ever seriously think about attempting suicide? Q54 Frequency Percent Missing No Yes : During the past 12 months, did you make a plan about how you would attempt suicide? Q55 Frequency Percent Missing No Yes : During the past 12 months, how many times did you attempt suicide? Q56 Frequency Percent Missing times time or 3 times or more times : If you have ever smoked a cigarette, how old were you when you smoked a whole cigarette for the first time? Q57 Frequency Percent Missing I have never smoked a whole cigarette 8 years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : During the past 30 days, on how many days did you smoke cigarettes? Q58 Frequency Percent Missing days or 2 days to 5 days to 9 days to 19 days to 29 days All 30 days

67 59: If you wanted to get some cigarettes, how easy would it be for you to get some? Q59 Frequency Percent Missing Sort of hard Sort of easy Very easy : In the past year, have you ever: given money to a legal age (18+) person to buy cigarettes for you? Q62 Frequency Percent Missing No Yes : In the past year, have you ever: been given cigarettes by your parents or a friend's parents? Q65 Frequency Percent Missing No Yes : During the past 12 months, did you ever try to quit smoking cigarettes? Q60 Frequency Percent Missing I did not smoked during the past 12 months Yes No : In the past year, have you ever: bought cigarettes from a grocery store, gas station, convenience store, or discount store? Q61 Frequency Percent Missing No Yes : In the past year, have you ever: stolen cigarettes from a store? Q63 Frequency Percent Missing No Yes : In the past year, have you ever: taken cigarettes from your home or a friend s home without permission? Q64 Frequency Percent Missing No Yes : In the past year, have you ever: been given cigarettes by an underage friend? Q66 Frequency Percent Missing No Yes : In the past year, have you ever: been given cigarettes by a legal aged (18+) person? Q67 Frequency Percent Missing No Yes Ottawa County Youth Assessment Sur vey 67

68 68: If you have ever used chewing tobacco, snuff, or dip, how old were you when you first used it? I have never used chewing tobacco, snuff, or dip Q68 Frequency Percent Missing years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars? Q70 Frequency Percent Missing days or 2 days to 5 days to 9 days to 19 days to 29 days All 30 days : During the past 30 days, on how many days did you use an electronic vapor product? Q72 Frequency Percent Missing days or 2 days to 5 days to 9 days to 19 days to 29 days All 30 days : During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip? Q69 Frequency Percent Missing days or 2 days to 5 days to 9 days to 19 days to 29 days All 30 days : If you have ever used an electronic vapor product, how old were you when you first used it? Q71 Frequency Percent Missing I have never used an electronic vapor product 8 years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : If you have ever drank alcohol, how old were you when you had your first drink of alcohol? Q73 Frequency Percent Missing I have never had a drink of alcohol other than a few sips 8 years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older

69 74: During the past 30 days, on how many days did you have at least one drink of alcohol? Q74 Frequency Percent Missing days or 2 days to 5 days to 9 days to 19 days to 29 days All 30 days : During the past 30 days, on how many days did you have five or more drinks of alcohol within a couple of hours? Q75 Frequency Percent Missing days or 2 days to 5 days to 9 days to 19 days to 29 days All 30 days : If you wanted to get some alcohol, how easy would it be for you to get some? Q76 Frequency Percent Missing Very hard Sort of hard Sort of easy Very easy : In the past year, have you: bought alcohol from a store? Q77 Frequency Percent Missing No Yes : In the past year, have you: bought alcohol from a restaurant or bar? Q78 Frequency Percent Missing No Yes : In the past year, have you: bought alcohol with an ID other than yours? Q79 Frequency Percent Missing No Yes : In the past year, have you: given money to a legal age (21+) friend or family member to buy alcohol for you? Q80 Frequency Percent Missing No Yes : In the past year, have you: stolen alcohol from a store? Q81 Frequency Percent Missing No Yes Ottawa County Youth Assessment Sur vey 69

70 82: In the past year, have you: taken alcohol from your home or a friend s home without permission? Q82 Frequency Percent Missing No Yes : In the past year, have you: been given alcohol by your parents or a friend's parents? Q83 Frequency Percent Missing No Yes : In the past year, have you: been given alcohol by an underage friend? Q84 Frequency Percent Missing No Yes : In the past year, have you: been given alcohol by a legal aged (21+) person? Q85 Frequency Percent Missing No Yes : In the past year, have you: attended a party where alcohol was available? Q86 Frequency Percent Missing No Yes : If you have ever used marijuana, how old were you when you used marijuana for the first time? Q87 Frequency Percent Missing I have never used marijuana years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : During the past 30 days, how many times did you use marijuana? Q88 Frequency Percent Missing times or 2 times to 9 times to 19 times o to 39 times or more times : During the past 30 days how did you use marijuana? I did not use marijuana in the past 30 days. Q89 Frequency Percent Missing No Yes : During the past 30 days how did you use marijuana? I smoked it. Q90 Frequency Percent Missing No Yes : During the past 30 days how did you use marijuana? I ate it. Q91 Frequency Percent Missing No Yes : During the past 30 days how did you use marijuana? I drank it. Q92 Frequency Percent Missing No Yes

71 93: During the past 30 days how did you use marijuana? I vaporized it. Q93 Frequency Percent Missing No Yes : During the past 30 days how did you use marijuana? I used it for medicinal purposes. Q94 Frequency Percent Missing No Yes : During the past 30 days how did you use marijuana? I used it some other way. Q95 Frequency Percent Missing No Yes : If you wanted to get some marijuana, how easy would it be for you to get some? Q96 Frequency Percent Missing Very hard Sort of hard Sort of easy Very easy : If you have ever used an over the counter drug only for the experience or feeling is caused, how old were you when your first used it? Q97 Frequency Percent Missing I have never used an over the counter drug only to get high 8 years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : During the past 30 days, how many times did you use an over the counter drug only for the experience or feeling that it caused? Q98 Frequency Percent Missing times or 2 times to 9 times to 19 times o to 39 times or more times : Referring to the over the counter drugs used, in the past year have you: taken them from your home? Q99 Frequency Percent Missing No Yes : Referring to the over the counter drugs used, in the past year have you: taken them from your grandparents? Q100 Frequency Percent Missing No Yes Ottawa County Youth Assessment Sur vey 71

72 101: Referring to the over the counter drugs used, in the past year have you: taken them from a friend? Q101 Frequency Percent Missing No Yes : Referring to the over the counter drugs used, in the past year have you: taken them from a friend s home? Q102 Frequency Percent Missing No Yes : Referring to the over the counter drugs used, in the past year have you: bought them from a friend/peer? Q103 Frequency Percent Missing No Yes : Referring to the over the counter drugs used, in the past year have you: bought them from a store? Q104 Frequency Percent Missing No Yes : Referring to the over the counter drugs used, in the past year have you: stolen them from a store? Q105 Frequency Percent Missing No Yes : Referring to the over the counter drugs used, in the past year have you: attended a party where they were available? Q106 Frequency Percent Missing No Yes : If you have ever used prescription drugs without a doctor s prescription, how old were you when you first used them? Q107 Frequency Percent Missing I have never used prescription drugs that were not prescribed for me 8 years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : During the past 30 days have you used any of the following without a doctor s prescription? Prescription sedatives or tranquilizers. Q108 Frequency Percent Missing No Yes

73 109: During the past 30 days have you used any of the following without a doctor s prescription? Prescription pain relievers. Q109 Frequency Percent Missing No Yes : During the past 30 days have you used any of the following without a doctor s prescription? Prescription stimulants. Q110 Frequency Percent Missing No Yes : During the past 30 days have you used any of the following without a doctor s prescription? An unknown prescription drug. Q111 Frequency Percent Missing No Yes : If you wanted to get some prescription drugs without a doctor s prescription, how easy would it be for you to get some? Q112 Frequency Percent Missing Very hard Sort of hard Sort of easy Very easy : Referring to prescription drugs not prescribed to you, in the past year have you: bought them from a friend/peer? Q113 Frequency Percent Missing No Yes : Referring to prescription drugs not prescribed to you, in the past year have you: bought them from the internet? Q114 Frequency Percent Missing No Yes : Referring to prescription drugs not prescribed to you, in the past year have you: taken them from your home? Q115 Frequency Percent Missing No Yes : Referring to prescription drugs not prescribed to you, in the past year have you: taken them from your grandparents? Q116 Frequency Percent Missing No Yes : Referring to prescription drugs not prescribed to you, in the past year have you: taken them from a friend? Q117 Frequency Percent Missing No Yes Ottawa County Youth Assessment Sur vey 73

74 118: Referring to prescription drugs not prescribed to you, in the past year have you: taken them from a friend s home? Q118 Frequency Percent Missing No Yes : Referring to prescription drugs not prescribed to you, in the past year have you: attended a party where they were available? Q119 Frequency Percent Missing No Yes : Have you ever used cocaine in any form including powder, crack, or freebase? Q120 Frequency Percent Missing No Yes : If you have ever used an inhalant to get high, how old were you the first time you used an inhalant? Q121 Frequency Percent Missing I have never used inhalants years old or younger or 10 years old or 12 years old or 14 years old or 16 years old years old or older : During the past 30 days, how many times have you used an inhalant in order to get high? Q122 Frequency Percent Missing times or 2 times to 9 times to 19 times o to 39 times or more times : Have you ever used heroin? Q123 Frequency Percent Missing No Yes : Have you ever used methamphetamine? Q124 Frequency Percent Missing No Yes : Have you ever used ecstasy? Q125 Frequency Percent Missing No Yes : Have you ever used hallucinogens? Q126 Frequency Percent Missing No Yes

75 127: During the past 30 days, how many times have you used a hallucinogen? Q127 Frequency Percent Missing times or 2 times to 5 times to 9 times to 19 times to 39 times or more times : If you wanted to get a drug like cocaine, LSD, heroin, or meth, how easy would it be for you to get some? Q128 Frequency Percent Missing Very hard Sort of hard Sort of easy Very easy : How much do you think people risk harming themselves if they: use an over the counter drug only for the experience or feeling that it caused? Q129 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar : How much do you think people risk harming themselves if they: use a prescription drug not prescribed to them? Q130 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar : How much do you think people risk harming themselves if they: try marijuana one or twice? Q131 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar : How much do you think people risk harming themselves if they: have five or more alcoholic drinks once or twice a week? Q132 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar : How much do you think people risk harming themselves if they: smoke marijuana once or twice a week? Q133 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar Ottawa County Youth Assessment Sur vey 75

76 134: How much do you think people risk harming themselves if they: have one or two alcoholic drinks nearly every day? Q134 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar : How much do you think people risk harming themselves if they: smoke marijuana regularly? Q135 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar : How much do you think people risk harming themselves if they: smoke one or more packs of cigarettes per day? Q136 Frequency Percent Missing No risk Slight risk Moderate risk Great risk Can't say/drug unfamiliar : How wrong do your parents feel it would be for you to: smoke cigarettes? Q137 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How wrong do your parents feel it would be for you to: drink beer, wine, or hard liquor regularly? Q138 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How wrong do your parents feel it would be for you to: have one or two alcoholic drinks nearly every day? Q139 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How wrong do your parents feel it would be for you to: smoke marijuana? Q140 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How wrong do your parents feel it would be for you to: use prescription drugs not prescribed to you? Q141 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all

77 142: How wrong do your friends feel it would be for you to: smoke cigarettes? Q142 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How wrong do your friends feel it would be for you to: have one or two drinks of an alcoholic beverage nearly every day? Q143 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How wrong do your friends feel it would be for you to: use prescription drugs not prescribed to you? Q144 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How wrong do your friends feel it would be for you to: use marijuana? Q145 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all : How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day? Q146 Frequency Percent Missing Strongly approve Somewhat approve Neither approve nor disapprove Somewhat disapprove Strongly disapprove Don't know/can't say : What percentage of the kids in your grade do you think have had some kind of alcoholic beverage in the past 30 days? Q147 Frequency Percent Missing % % % % % : What percentage of the kids in your grade do you think have used marijuana in the past 30 days? Q148 Frequency Percent Missing % % % % % Ottawa County Youth Assessment Sur vey 77

78 149: During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day? Q149 Frequency Percent Missing days day days days days days days days : On how many of the past 7 days did you do exercises to strengthen or tone your muscles? Q150 Frequency Percent Missing days day days days days days days days : On an average day, how many hours do you watch tv, play video games, or use a computer for something that is not school work? I do not watch TV, or play video or computer games, or use a computer for something that is not school work Q151 Frequency Percent Missing Less than 1 hour per day hour per day hours per day hours per day hours per day or more hours per day : How would you describe your weight? Q152 Frequency Percent Missing Very underweight Slightly underweight About the right weight Slightly overweight Very overweight : Which of the following are you trying to do about your weight? Q153 Frequency Percent Missing I am not trying to do anything about my weight Lose weight Gain weight Stay the same weight : During the past 30 days, have you done any of the following to lose weight or to keep from gaining weight? Exercise. Q154 Frequency Percent Missing No Yes : During the past 30 days, have you done any of the following to lose weight or to keep from gaining weight? East less food, fewer calories, or foods low in fat. Q155 Frequency Percent Missing No Yes

79 156: During the past 30 days, have you done any of the following to lose weight or to keep from gaining weight? Go without eating for 24 hours or more. Q156 Frequency Percent Missing No Yes : During the past 30 days, have you done any of the following to lose weight or to keep from gaining weight? Take any diet pills, powders, or liquids without a doctor s advice. Q157 Frequency Percent Missing No Yes : During the past 30 days, have you done any of the following to lose weight or to keep from gaining weight? Vomit or take laxatives. Q158 Frequency Percent Missing No Yes : On an average day, how many cups of fruit do you eat? Q159 Frequency Percent Missing I do not usually eat fruit cup cups cups cups cups cups or more : On an average day, how many cups of vegetables do you eat? Q160 Frequency Percent Missing I do not usually eat vegetables 1 cup cups cups cups cups cups or more : During the past 7 days, how many times did you drink a can, bottle, or glass of soda? Q161 Frequency Percent Missing I did not drink soda or pop during the past 7 days Less than 1 time per day time per day times per day times per day or more times per day : On an average day, how many servings of dairy do you eat or drink? Q162 Frequency Percent Missing I do not usually eat or drink dairy 1 serving servings servings servings servings servings or more Ottawa County Youth Assessment Sur vey 79

80 163: How often do you feel that the school work you are assigned is meaningful and important? Q163 Frequency Percent Missing Almost always Often Sometimes Seldom Never : How interesting are most of your courses to you? Q164 Frequency Percent Missing Very interesting and stimulating Quite interesting Fairly interesting Slightly dull Very dull : How important do you think the things you are learning in school are going to be for your later life? Q165 Frequency Percent Missing Very important Quite important Fairly important Slightly important Not at all important : During the last four weeks, how many times have you skipped one or more classes? Q166 Frequency Percent Missing None or more : Thinking back over the past year in school: How often did you enjoy being in school? Q167 Frequency Percent Missing Almost Always Often Sometimes Seldom Never : Thinking back over the past year in school: how often did you hate being in school? Q168 Frequency Percent Missing Almost Always Often Sometimes Seldom Never : Thinking back over the past year in school: How often did you try to do your best work in school? Q169 Frequency Percent Missing Almost Always Often Sometimes Seldom Never : People in my family often insult or yell at each other. Q170 Frequency Percent Missing NO! no yes YES!

81 171: We argue about the same things in my family over and over again. Q171 Frequency Percent Missing NO! no yes YES! : My parents want me to call if I m going to be late getting home. Q174 Frequency Percent Missing NO! no yes YES! : My family has clear rules about alcohol and drug abuse. Q177 Frequency Percent Missing NO! no yes YES! : People in my family have serious arguments. Q172 Frequency Percent Missing NO! no yes YES! : My parents are if I ve gotten my homework done. Q173 Frequency Percent Missing NO! no yes YES! : When I am not at home, one of my parents knows where I am and who I am with. Q175 Frequency Percent Missing NO! no yes YES! : The rules in my family are clear. Q176 Frequency Percent Missing NO! no yes YES! : Would your parents know if you did not come home on time? Q178 Frequency Percent Missing NO! no yes YES! : My parents give me lots of chances to do fun things with them. Q179 Frequency Percent Missing NO! no yes YES! Ottawa County Youth Assessment Sur vey 81

82 180: My parents ask me what I think before most family decisions affecting me are made. Q180 Frequency Percent Missing NO! no yes YES! : How much does the following describe your neighborhood: Crime and/or drug selling. Q183 Frequency Percent Missing NO! no yes YES! : How much does the following describe your neighborhood: Lots of graffiti. Q186 Frequency Percent Missing NO! no yes YES! : If I had a personal problem, I could ask my mom or dad for help. Q181 Frequency Percent Missing NO! no yes YES! : How much does the following describe your neighborhood: I feel safe. Q182 Frequency Percent Missing NO! no yes YES! : How much does the following describe your neighborhood: Fights. Q184 Frequency Percent Missing NO! no yes YES! : How much does the following describe your neighborhood: Lots of empty or abandoned buildings. Q185 Frequency Percent Missing NO! no yes YES! : During the past 12 months, have you participated in: Volunteer opportunity? Q187 Frequency Percent Missing No Yes : During the past 12 months, have you participated in: School or community club? Q188 Frequency Percent Missing No Yes

83 189: During the past 12 months, have you participated in: Team sports? Q189 Frequency Percent Missing No Yes : During the past 12 months, have you participated in: Nonteam sports? Q190 Frequency Percent Missing No Yes : During the past 12 months, have you participated in: Art/music/theater/dance? Q191 Frequency Percent Missing No Yes : During the past 12 months, have you participated in: Parttime job? Q192 Frequency Percent Missing No Yes : During the past 12 months, have you participated in: Church group? Q193 Frequency Percent Missing No Yes : During the past 12 months, have you participated in: Leadership activities? Q194 Frequency Percent Missing No Yes : Have your parents or other adults in your family ever talked with you about what they expect you to do or not to do when it comes to sex? Q195 Frequency Percent Missing No Yes : How wrong do your parents feel it would be for you to have sexual intercourse? Q196 Frequency Percent Missing Very wrong Wrong A little bit wrong Not wrong at all Don't know : There are consequences when someone my age has sexual intercourse. Q197 Frequency Percent Missing Strongly Agree Agree Disagree Strongly disagree Don't know Ottawa County Youth Assessment Sur vey 83

84 198: There are consequences when someone my age has oral sex. Q198 Frequency Percent Missing Strongly Agree Agree Disagree Strongly disagree Don't know : If you have ever had oral sex, how old were you the first time you had oral sex? Q199 Frequency Percent Missing I have never had oral sex years or younger years years years years or older : If you have ever had sexual intercourse, how were you when you had sexual intercourse for the first time? Q200 Frequency Percent Missing I have never had sexual intercourse 11 years or younger years years years years or older : During your life, with how many people have you had sexual intercourse? Q201 Frequency Percent Missing person people people people people or more people : During the past 3 months, with how many people did you have sexual intercourse? Q202 Frequency Percent Missing I have had sexual intercourse, but not during the past 3 months 1 person people people people people or more people : During the past 12 months have you ever been tested for any sexually transmitted diseases? Q203 Frequency Percent Missing No Yes : Did you drink alcohol or use drugs before you had sexual intercourse the last time? Q204 Frequency Percent Missing Yes No

85 205: The last time you had sexual intercourse did you or your partner use a condom? Q205 Frequency Percent Missing Yes No : The last time you had sexual intercourse, what one method did you or your partner use to prevent pregnancy? Q206 Frequency Percent Missing No method was used to prevent pregnancy Birth control pills Condoms An IUD (Such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon) A shot (such as DepoProvera), a patch (such as OrthoEvra), or birth control ring (such as NuvaRing) Withdrawal or some other method Not sure Ottawa County Youth Assessment Sur vey 85

86 Result Charts Appendix B Driving In the past month 80% 70% 60% % 50% 40% 30% 20% 10% 0% 4% 15% I drove a vehicle after I rode in a vehicle w/someone drinking alcohol (drivers only) who had been drinking alcohol I texted or ed while driving (drivers only) 86

87 Bullying In the past year 25% 27% 15.3% % 21% 15% 17% 10% 10% 9% 5% 5% 0% I've been bullied or harassed On school property Electronically ( , texting, FB, etc.) On my way to or from school 3% In my neighborhood Somewhere else 2015 Ottawa County Youth Assessment Sur vey 87

88 Violence Related Behavior In the past year 60% % 40% 30% 20% 10% 0% I had sexual intercourse when I really did not want to in the past 12 months I was physicallyi was under the forced influence of alcohol or drugs I felt like I had to in order to fit in with my friends I felt uncomfortable saying no I did it because of some other reason 88

89 Depression & Suicide In the past year 30% % 20% 24% 15% 15% 10% 12% 5% 6% 0% I felt so sad or hopeless for 2 weeks that stopped doing usual activities I seriously thought about attempting suicide I made a plan about how I would attempt suicide I attempted suicide 1+ times 2015 Ottawa County Youth Assessment Sur vey 89

90 Relationships In the past year 70% % 50% 40% 46% 30% 20% 10% 0% I've had a BF/GF 15% who called me degrading names 13% who tried to control when I saw my friends who isolated me from family or friends 9% 9% who hit, slapped, physically hurt me 6% who threatened me During the past 12 months, did you have a boyfriend or girlfriend? During the past 12 months has BF/GF done any of the following? 90

91 Family Experience Proportion of students with positive perceptions % 90% 80% 70% 90% 88% 87% 79% 60% 50% 40% 30% 20% 10% 0% My parents know where I am and who I'm with The rules in my family are clear My parents would know if I didn't come home on time If I had a personal problem, I could ask my parents for help 2015 Ottawa County Youth Assessment Sur vey 91

92 School Experience Proportion of students with negative perceptions 40% % 38% 30% 25% 28% 20% 23% 15% 10% 5% 0% I seldom feel school work is meaningful & important I feel things being learned in school are not important for later life I almost always hate being in school 5% I seldom try to do my best in school 92

93 Community Experience In the past year % 60% 50% 63% 61% 40% 45% 30% 35% 20% 22% 10% 0% Volunteer School/community club Team sport Nonteam sport Leadership activity 2015 Ottawa County Youth Assessment Sur vey 93

94 Lifetime Substance Use I have tried 50% % 40% 35% 30% 25% 20% 28% 25% 15% 18% 10% 5% 13% 9% 7% 0% Alcohol Vapor products Cigarettes Marijuana Prescription drugs OTC drugs 94

95 Current Substance Use In the past month 35% % 25% 20% 15% 16% 14% 10% 5% 0% 8% Alcohol Alcohol Binge Vapor Products 7% 10% 6% Cigarettes Marijuana Prescription drugs 4% OTC drugs 2015 Ottawa County Youth Assessment Sur vey 95

96 Forms of Marijuana In the past month 12% 10% 10% 8% 6% 4% 2% 3.2% 2.8% 2.7% 3.2% 0% I smoked it I ate it I used it medicinally 0.7% I vaporized it I drank it I use it in some other way 96

97 Perception of Risk No or slight risk to 40% % 30% 25% 26% 26% 20% 21% 15% 10% 17% 14% 10% 5% 0% Smoking marijuana regularly 5+ drinks once or twice/wk 12 drinks/day Using OTC drugs Using prescription drugs w/o a Rx 1+ packs of cigarettes/day 2015 Ottawa County Youth Assessment Sur vey 97

98 Place of Access to Substances Past Year The most common source listed by students: Alcohol Cigarettes Rx OTC 18.5% Given by a person over % Given by an underage friend 4.3% Took them from home 5.3% Took them from home Attended a party where the substance was available: Alcohol Rx OTC 37.7% 7.3% 9.2% 98